+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Periareolar skin-sparing mastectomy and latissimus dorsi flap with biodimensional expander implant reconstruction: surgical planning, outcome, and complications

Periareolar skin-sparing mastectomy and latissimus dorsi flap with biodimensional expander implant reconstruction: surgical planning, outcome, and complications

Plastic and Reconstructive Surgery 119(6): 1637-49; Discussion 1650-2

Although use of the latissimus dorsi myocutaneous flap associated with the Biodimensional anatomical expander implant system (McGhan 150) is a reliable technique, little information has been available regarding clinical outcome following periareolar skin-sparing mastectomy reconstruction. The purpose of this study was to analyze the feasibility of the technique, surgical planning, and its outcome following skin-sparing mastectomy. Thirty-two patients underwent immediate unilateral latissimus dorsi myocutaneous flap/Biodimensional anatomical expander implant system breast reconstruction. Mean follow-up was 18 months. The technique was indicated in patients with small- or moderate-volume breasts with or without ptosis, in whom the use of abdominal flaps was precluded. Flap and donor-site complications were evaluated. Information on anesthetic results and patient satisfaction was collected. Seventy-two percent had tumors measuring 2 cm or less (T1) and 78 percent were stage 0 and I according to American Joint Committee on Cancer criteria. Breast skin complications occurred in 9.4 percent. Two patients presented small breast skin necrosis, and in one patient, a wound dehiscence was observed. Donor-site complications, all represented by seroma, occurred in 12.5 percent. The cosmetic result was considered good or very good in 84.4 percent, and the majority of patients were either very satisfied or satisfied. No local recurrences were observed. All complications except two were treated by conservative means. The latissimus dorsi myocutaneous flap/Biodimensional anatomical expander implant system is a simple and reliable technique for periareolar skin-sparing mastectomy reconstruction. Success depends on patient selection, coordinated planning with the oncologic surgeon, and careful intraoperative and postoperative management.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054929787

Download citation: RISBibTeXText

PMID: 17440335

DOI: 10.1097/01.prs.0000246406.68739.e4

Related references

Periareolar Skin-Sparing Mastectomy and Latissimus Dorsi Flap with Biodimensional Expander Implant Reconstruction: Surgical Planning, Outcome, and Complications. Yearbook of Plastic and Aesthetic Surgery 2009: 180-181, 2009

Immediate breast reconstruction with expander assisted latissimus dorsi flap after skin sparing mastectomy. Journal of the Egyptian National Cancer Institute 18(2): 134-140, 2007

Optimizing the nipple-areola sparing mastectomy with double concentric periareolar incision and biodimensional expander-implant reconstruction: aesthetic and technical refinements. Breast 18(6): 356-367, 2010

Contralateral axillary silicone lymphadenopathy, following skin sparing mastectomy and immediate reconstruction with latissimus dorsi myocutaneous flap and implant. European Journal of Plastic Surgery 38(3): 253-254, 2015

Esthetic outcome of immediate reconstruction with latissimus dorsi myocutaneous flap after breast-conservative surgery and skin-sparing mastectomy. Annals of Plastic Surgery 61(1): 19-23, 2008

Skin-sparing mastectomy and immediate latissimus dorsi flap reconstruction: a retrospective analysis of the surgical and patient-reported outcomes. World Journal of Surgical Oncology 10: 259, 2013

Reconstruction with the latissimus dorsi flap after skin-sparing mastectomy. Annals of Plastic Surgery 46(3): 229-233, 2001

Immediate breast reconstruction with a myocutaneous latissimus dorsi flap and implant following skin-sparing salvage mastectomy after irradiation as part of breast-conserving therapy. Journal of Plastic, Reconstructive and Aesthetic Surgery 69(8): 1080-1086, 2017

Nipple-sparing skin-sparing mastectomy and vertical latissimus dorsi flap reconstruction for bilateral fibromatosis of the breast. Clinical Breast Cancer 10(1): E1-E2, 2010

Skin-sparing mastectomy with immediate breast reconstruction by a new modification of extended latissimus dorsi myocutaneous flap. World Journal of Surgery 32(12): 2586-2592, 2008

Endoscopic muscular latissimus dorsi flap harvesting for immediate breast reconstruction after skin sparing mastectomy. European Journal of Surgical Oncology 29(2): 127-131, 2003

Retrospective observational study of breast reconstruction with extended latissimus dorsi flap following skin-sparing mastectomy. Medicine 97(31): E10936, 2018

Endoscopic latissimus dorsi muscle flap for breast reconstruction after skin-sparing total mastectomy: report of 14 cases. Aesthetic Plastic Surgery 37(4): 719-727, 2014

Immediate extended latissimus dorsi flap reconstruction after skin-sparing mastectomy for breast cancer associated with paraffinoma: report of a case. Surgery Today 41(12): 1680-1683, 2012

Complications After Total Skin-Sparing Mastectomy and Expander-Implant Reconstruction: Effects of Radiation Therapy on the Stages of Reconstruction. Annals of Plastic Surgery 80(1): 10-13, 2017