Abstract

INTRODUCTION

In this study, we aimed to investigate the aesthetic outcomes and complications of delayed breast reconstruction with latissimus dorsi myocutaneous flap + implant among patients undergoing total mastectomy operation.

METHODS

This study included patients operated with latissimus dorsi myocutaneous flap+implant after total mastectomy operation.

RESULTS

We performed delayed reconstruction with Latissimus Dorsi myocuteneous flap+implant for 24 patients and 25 total mastectomized breasts between 2014 and 2018. The study population had a mean age of 44.0 years. Twelve right and 13 left breasts were reconstructed. Operative time ranged between 135 and 220 minutes. None of the patients suffered partial or total flap necrosis, infection, implant protrusion or rupture, or keloid formation. Four patients developed seroma lasting for up to 1 month, which improved upon aspiration. One patient developed a cellulitis-like appearance on the breast tissue at the second month, which improved after a 1-week course of IV antibiotics. Only three patients had a bad scar formation at the donor site. No patient had bad scar formation in the mammary region. The median volume of round implants was 250 (175-300) ml. None of the patients suffered cancer recurrence.

DISCUSSION AND CONCLUSION

Latissimus dorsi myocutaneous flap + implant procedure is an extremely safe and reliable option for delayed breast reconstruction. It is a simple technique with less complications than other reconstructive techniques, particularly for patients who fear postoperative complications and who wish to return to normal life.