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[The study on donor site sequelae after autologous breast reconstruction with an extended latissimus dorsi flap]
Jian-Ying Gu1, Fa-Zhi Qi, Jian-Wei Xu
1Department of Plastic Surgery, Zhong Shan Hospital, Fu Dan University, Shanghai 200032, China.
Objective:
To study the prevention and treatment on the donor site sequelae after autologous breast reconstruction with extended latissimus dorsi flap.
Methods:
88 patients received breast reconstruction with extended latissimus dorsi flap between May 1999 and Nov 2004 were concerned. We analyzed the donor site sequelae by objective and subjective evaluation and we assessed the functional condition. Results Dorsal hematoma developed in 1 patient. There are 7 patients with dorsal seromas and 2 of them developed capsules; 5 patients with mild skin exfoliate and 1 patient with dry skin necrosis, 2 winged shoulders. No infection and no hypertrophic scars appeared in donor site. There is no significant functional limitation and no influence in daily life.
Conclusions:
The main complication after autologous breast reconstruction with extended latissimus dorsi flap was seromas and it can be controlled to decrease. There is no severe complication. It's a worthy method in autologous breast reconstruction in oriental people.
