ACTA FAC MED NAISS 2010; 27(4):191-198

Original article

UDC: 618.19-006.6:616-089.84

 

Breast Reconstruction With Extended Latissimus Dorsi Flap and Silicone Implant

 

Milan Višnjić1, Predrag Kovačević1, Ljiljana Paunković1, Goran Đorđević1, Aleksandar Višnjić2

1Clinic of Plastic and Reconstructive Surgery, Clinical Centre Niš, Serbia

2Institute for Public Health, Niš, Serbia


 

SUMMARY

Breast carcinoma is the most common female malignancy. Mastectomy and breast reconstruction are indicated to treat the disease and to improve quality of life. The aim of this study was to compare the esthetic results of breast reconstruction with extended latissimus dorsi flap and implant for breast cancer with and without denervation of latissimus dorsi muscle. Our study was a retrospective review of prospectively collected data. Surgery was performed as primary reconstruction in 24 (75%) and secondary reconstruction in 8 patients (25%). All patients were consecutively divided in two equal groups (with 16 patients each) with latissimus dorsi muscle intact or denervated. Their average age was 46.2 years. Primary reconstruction was done for stages I and IIA, and secondary reconstruction one year after the completion of oncologic treatment. Postoperative follow-up was two years. Early complications (hematoma, infection) were not observed and dorsal seroma was observed in four women (12.5%). Partial flap necrosis was found in one case, but complete flap necrosis was not found. In six patients (18.7%), unacceptable scarring at the donor site required correction. Two years after reconstruction the patients assessed the procedure as very good or excellent. Excelent grade was often statisticaly significant in the group with innervated flap. Primary or secondary breast reconstruction should become an integral part of breast cancer treatment. Extended latissimus dorsi flap with implant is a safe and relatively simple reconstruction technique and should be preferred to other similar techniques. We suggest the reconstruction with innervated musle flap for better esthetic results.

 

Key words: breast cancer, surgery, breast reconstruction, latissimus dorsi flap, silicone implant