The Use of Latissimus Dorsi Mini-Flap in Partial Breast Reconstruction

Ibraheem, Maher H.; Youssef, Mina; Abdalla, Youhanna; Boutrus, Rimoun; Farouk, Amr; Morsi, Ahmed

doi:10.26502/jcsct.5079038

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…16 A study by Ibraheem MH et al stated that the cosmetic drawbacks of breast-conserving surgery are asymmetry, nipple or skin retraction, and loss of volume, which results in unsatisfactory cosmetic results. 11 LD flap is an essential reconstruction method of choice due to its stability and flexibility as an autologous flap. However, some of the disadvantages of the flap are associated with additional donor sites with scarring and potential morbidity.…”

Section: Original Articlementioning

confidence: 99%

“…In a study by Ibraheem MH et al, about 15 patients had donor site seroma. 11 The study result by Lee JS et al, who performed breast reconstruction with LD flap in January 2014 until June 2018 with 275 cases, stated that there were 3 cases of hematoma developed after breast reconstruction with LD flap. 17 Although previous studies had indicated seroma as the most common complication, the incidence of hematoma in a few years after surgery is rarely reported late.…”

Section: Original Articlementioning

confidence: 99%

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The effect of Modified Radical Mastectomy (MRM) with and without latissimus dorsi flap on seroma of Locally Advanced Breast Cancer (LABC) in Sanglah Hospital

Pramana¹,

Widiana²,

Widiana³

2021

Intisari Sains Medis

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Background: Locally Advanced Breast Cancer (LABC) is defined as breast cancer spread locoregionally and without any signs of metastasis. Stage IIIA breast cancer is one type of LABC that can be removed surgically, and Modified Radical Mastectomy (MRM) remains the first surgical option. Seroma production is one of the most common complications post MRM, with the hypothesis stating that the Latissimus Dorsi (LD) flap technique is responsible for resulting in higher seroma output. This study aims to compare seroma production in LABC patients post MRM with and without LD flap. Methods: This prospective cohort study was conducted in Sanglah General Hospital, Denpasar, between November 2018 and January 2020. The study sample was divided into 2 groups: LABC patients post MRM with and without LD flap reconstruction. Seroma was measured in milliliters (ml) and collected from the first to fifth day post-operation. Data were analyzed using SPSS version 21 for Windows. Results: Forty LABC patients were enrolled in this study. The mean age for the group without latissimus dorsi flap was 48.45±7.01 years and 49.40±10.77 years for the group with latissimus dorsi flap. The mean seroma production in LABC patients who underwent MRM without and with LD flap reconstruction was 696.45±66.37 ml and 490.10±62.11 ml. There was a significant difference in the total of seroma between the treatment group without-LD flap and compared to with-LD flap reconstruction (p<0.001). Conclusion: Seroma production is significantly higher in LABC patients post MRM without LD flap reconstruction than LABC patients with LD flap.

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Section: Original Articlementioning

confidence: 99%

Section: Original Articlementioning

confidence: 99%

The effect of Modified Radical Mastectomy (MRM) with and without latissimus dorsi flap on seroma of Locally Advanced Breast Cancer (LABC) in Sanglah Hospital

Pramana¹,

Widiana²,

Widiana³

2021

Intisari Sains Medis

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“…There are only few papers reported on the practicability of this technique in treating women with a large tumor. 14,15 Therefore, we conducted a study to assess the oncological clearance and cosmetic outcomes of partial breast reconstruction using a LDMF following a BCS for various breast pathologies.…”

Section: Introductionmentioning

confidence: 99%

Breast conserving surgery with immediate partial breast reconstruction using a latissimus dorsi mini flap: oncological clearance and cosmetic outcomes

et al. 2022

Int Surg J

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Background: In our center, a breast conserving surgery (BCS) with immediate partial breast reconstruction using a latissimus dorsi mini flap (LDMF) is performed in women with a large tumor-to-breast-size ratio who declined mastectomy. We conducted a study to assess the oncological clearance and cosmetic outcomes following a BCS with immediate LDMF partial breast reconstruction in women with various breast pathologies. Methods: A cross-sectional study was conducted involving patients who underwent a BCS with immediate LDMF reconstruction between January 2016 and January 2021 in the hospital Kuala Lumpur, Malaysia. The demographic data, tumor characteristics, operative details and post-operative complications were documented. The histopathological reports were reviewed to determine the oncological clearance. Patient’s satisfaction on the cosmetic outcomes evaluated using a standard breast-Q questionnaire.Results: Thirty patients with various breast pathologies were recruited; invasive carcinoma (n=26, 86.7%), ductal carcinoma in-situ (DCIS) (n=1, 3.3%), phyllodes tumor (n=2, 6.7%), and dermatofibrosarcoma protuberans (n=1, 3.3%). The mean tumor size was 4.92 cm, giving the mean specimen weight of 224 g. Adequate oncological clearance was obtained in 96.7% of all cases. Seventeen of the patients (n=17, 56.6 %) were deeply satisfied and the remaining patients were satisfied (n=13, 43.3 %).Conclusions: In a stage II/III breast cancer, a BCS with immediate partial breast reconstruction using a LDMF can be safely performed with satisfactory cosmetic outcomes in women with a large tumor-to-breast-size ratio.

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The Use of Latissimus Dorsi Mini-Flap in Partial Breast Reconstruction

Cited by 2 publications

References 9 publications

The effect of Modified Radical Mastectomy (MRM) with and without latissimus dorsi flap on seroma of Locally Advanced Breast Cancer (LABC) in Sanglah Hospital

The effect of Modified Radical Mastectomy (MRM) with and without latissimus dorsi flap on seroma of Locally Advanced Breast Cancer (LABC) in Sanglah Hospital

Breast conserving surgery with immediate partial breast reconstruction using a latissimus dorsi mini flap: oncological clearance and cosmetic outcomes

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