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Updated: Jun 19, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Immediate breast reconstruction following segmentectomy using a latissimus dorsi 'myoadipose' flap through a single
Vijay Naraynsingh1, Seetharaman Hariharan, Dilip Dan
1Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies St. Augustine, Trinidad West Indies. vijayoffice09@gmail.com
Abstract:
Immediate breast reconstruction is an excellent complementary treatment for patients with ductal carcinoma in situ and early-stage invasive breast cancer. Although lattisimus dorsi myocutaneous flap is one of the well accepted and versatile methods of breast reconstruction, there have been very few reports describing a myoadipose flap, especially through the same axillary incision used for nodal clearance. This article describes such a technique which produced excellent results both surgically as well as cosmetically.
