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Published on: December 5, 2025
Delayed breast reconstruction with latissimus dorsi flap
1Istanbul Bilim University, Istanbul, Turkey.
Aesthetic Plastic Surgery
|April 3, 2009
Summary
The latissimus dorsi flap is a safe and reliable option for delayed breast reconstruction, offering adequate tissue and a dependable blood supply. This method provides an excellent alternative for patients seeking breast mound reconstruction after mastectomy.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncology
Background:
- The pursuit of ideal breast reconstruction methods emphasizes safety, reliability, and minimal donor-site morbidity.
- This study evaluates the latissimus dorsi musculocutaneous flap for delayed breast reconstruction, incorporating immediate permanent implant placement.
Purpose of the Study:
- To assess the efficacy and safety of the latissimus dorsi musculocutaneous flap in delayed breast reconstruction.
- To analyze patient outcomes, including complications and the need for revisions.
Main Methods:
- A retrospective review of patients undergoing latissimus dorsi musculocutaneous flap for delayed breast reconstruction between 1999 and 2007.
- Data collected included patient demographics, mastectomy type, prior chest wall irradiation, nipple-areola reconstruction, and site-specific complications.
Main Results:
- The latissimus dorsi flap was utilized in 33 breast cancer surgery patients (mean age 51.14 years).
- Major complications occurred in 9% of patients (infection, partial flap ischemia, liponecrotic pseudocysts), with 27% requesting nipple-areola reconstruction.
- Seroma was the most frequent donor-site issue, and 8 patients required revision surgery.
Conclusions:
- The latissimus dorsi flap offers sufficient soft tissue and a reliable blood supply for post-mastectomy reconstruction.
- It is a secure breast reconstruction technique and a valuable alternative for patients with high risk for abdominal flap complications.
