The latter placement can allow additional aesthetic freedom. You also may be healing from axillary node dissection an incision under your arm where lymph nodes were removed if your doctor recommended it. Autogenous latissimus breast reconstruction. Received Dec 1; Accepted Jul In some cases, the skin and tissue need to be augmented with a breast implant to achieve the desired breast size. Breast reconstruction with flap surgery is a complex procedure performed by a plastic surgeon.
Relative contraindications to the use of the latissimus muscle are a posterior. A latissimus dorsi flap procedure leaves a scar on your back, but most surgeons try to place the incision so the scar is covered by your bra strap.
Latissimus Dorsi Flap in Breast Reconstruction
During latissimus dorsi flap reconstruction surgery, an incision is made in your back near your shoulder blade. Then, an oval section of skin, fat.
These innovations also allow flexibility in aesthetic outcome, as the surgeon can manipulate the volume carried by the flap, provide definition to the inframammary fold and create ptosis, and minimize donor site scarring. Philadelphia, Pa.
Video: Latissimus dorsi flap surgery Breast Cancer - Breast Reconstruction - Nucleus Health
The scarless latissimus dorsi flap provides effective lower pole prosthetic coverage in breast reconstruction.
The latissimus dorsi helped to restore form and function by providing muscle coverage over the implant, replacing the breast skin and creating a natural ptosis. Email: ude.
Breast reconstruction with flap surgery Mayo Clinic
Learn about the options, incuding TRAM, DIEP and latissimus dorsi flap. In this article, we take a look at what happens in latissimus dorsi flap reconstruction, including what women can expect from the surgery and. Produced by Matthew Hanasono, MD, Dept of Plastic Surgery, MD Anderson Cancer Center.
Latissimus dorsi myocutaneous flap for breast reconstruction.
If you're in pain or feel nauseated from the anesthesia, tell someone so you can be given medication. Overview 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.
Conclusions: When there is a paucity of tissue, the LDF can provide tissue volume in autologous reconstruction, as well as a reliable vascular pedicle for implant-based reconstruction as in the setting of irradiated tissue.
Breast reconstruction with a transverse abdominal island flap.
Video: Latissimus dorsi flap surgery Latissimus dorsi free flap
These innovations also allow flexibility in aesthetic outcome, as the surgeon can manipulate the volume carried by the flap, provide definition to the inframammary fold and create ptosis, and minimize donor site scarring. Additional sutures placed along the anterior axillary line aid in preventing flap or implant migration as well as protect the pedicle from excess tension.
A partial transfer of the latissimus dorsi muscle flap may suffice to fill a segmental defect. However, the same transfer is far from adequate for.
Latissimus Dorsi Flap Reconstruction What to Expect
For a latissimus dorsi flap, you usually stay in the hospital for about 4 days. Townsend CM Jr, et al. Published literature describes additional variations of the TDAP, termed the muscle-sparing latissimus dorsi MSLD flap, as it carries a large skin paddle and spares variable portions of the latissimus dorsi muscle.
The latissimus dorsi functions to adduct, extend, and medially rotate the humerus, as well as secure the tip of the scapula against the posterior chest wall.
Latissimus dorsi flap surgery
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