Latissimus dorsi breast reconstruction anatomy

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Breast cancer unfortunately affects 1 in 8 women in this country. Treatment for breast cancer often involves lumpectomy or mastectomy and adjuvant treatments such as chemotherapy and radiotherapy. While the main breast cancer treatment will be mostly coordinated by your breast surgeon, Dr Aggarwal will work with you and the breast surgeon to offer you the best reconstruction possible.

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Surgeons employ the latissimus dorsi flap LDF for reconstruction of a large variety of breast cancer surgery defects, including quadrantectomy, lumpectomy, modified radical mastectomy, and others. The LDF may be used in delayed or immediate reconstruction, in combination with tissue expanders for a staged reconstruction, with implant-based immediate reconstruction, or alone as an autogenous flap. The authors discuss the historical uses and more recent developments in the LDF.

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Skip to search form Skip to main content. Use of the tabbed expander in latissimus dorsi breast reconstruction. Gust and Khang M.

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Clin Surg. Background: The latissimus dorsi muscle has long been a valuable muscle for reconstruction. Our study aims to determine the true anatomic origin of the latissimus dorsi muscle and identify the possibility of performing an extended musculocutaneous flap for better aesthetic outcome and avoiding the need of implant based reconstruction to add volume.

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The TDAP is a good option for breast reconstruction that replaces the skin on the breast tissue by mobilizing the woman's back to the breast through a cutaneous tunnel. Blood vessels and muscles maintain their functional characteristics when surgery is performed. Outcomes are more natural although TDAP is not adequate to provide the volume and contour required.

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Breast Reconstruction pp Cite as. The authors describe the vascular anatomy an surgical technique of the muscle-sparing latissimus dorsi flap. Discussed are marking for the surgery, flap harvest and surgical applications.

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The latissimus flap includes a large well-vascularized flat muscle that is well suited for dealing with poorly-vascularized or radiated defects, contour deformities following breast conservation therapy, or for covering an implant. Placement of a tissue expander under the latissimus muscle allows postoperative adjustment of breast volume and ultimately better symmetry with the opposite breast. This helps avoid the displeasing bulge in the low axilla, however care must be taken to protect the thoracodorsal vessels.

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The latissimus dorsi muscle is the largest muscle in the body, up to 20 by 40 centimeters, allowing coverage of extremely large wounds. In spite of its size, no significant donor functional deficit results from removal of the muscle. It is the largest flap that can be harvested on a single predicle, and can even be combined with the serratus, scapular or parascapular flaps, to create a flap complex that can cover massive wounds.

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Breast reconstruction is a surgical procedure that restores shape to your breast after a mastectomy — surgery that removes your breast to treat or prevent breast cancer. Breast reconstruction with flap surgery involves taking a section of tissue from one area of your body — most often your abdomen — and relocating it to create a new breast mound. Breast reconstruction with flap surgery is a complex procedure performed by a plastic surgeon.

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Your latissimus dorsi muscle is located in your back, just below your shoulder and behind your armpit. It's the muscle that helps you do twisting movements, such as swinging a racquet or golf club. In a latissimus dorsi flap procedure, an oval flap of skin, fat, muscle, and blood vessels from your upper back is used to reconstruct the breast. This flap is moved under your skin around to your chest to rebuild your breast.


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