Using the split Latram for better breast projection in breast reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Medicine

Background:

• Breast reconstruction methods have advanced, yet achieving symmetrical, projecting breasts remains a challenge.
• Traditional techniques like folded transverse rectus abdominis musculocutaneous flaps can yield projection but may result in overly wide or large breasts.
• Stacked Meme implants offer improved projection but may not be suitable for all patients.

Purpose of the Study:

• To evaluate the efficacy of splitting and stacking transverse rectus abdominis musculocutaneous flaps for breast reconstruction.
• To determine if this modified flap technique improves projection and symmetry compared to other methods.
• To assess the applicability of this technique for both smaller and larger breasted women.

Main Methods:

• A modified technique involving splitting and stacking transverse rectus abdominis musculocutaneous flaps was employed.
• The procedure was performed on patients seeking breast reconstruction, including those with smaller and larger breast sizes.
• Simultaneous Latram (likely referring to Latissimus Dorsi flap) and mastectomy surgeries were conducted.

Main Results:

• Splitting and stacking flaps provide significantly better projection and symmetry, particularly for smaller-breasted women and some larger-breasted women.
• This technique addresses the limitations of previously used methods, offering a more aesthetically pleasing outcome.
• The surgical procedure, including simultaneous Latram and mastectomy, can be completed in under 3 hours.

Conclusions:

• The splitting and stacking of transverse rectus abdominis musculocutaneous flaps represent an effective advancement in breast reconstruction.
• This technique offers improved aesthetic results, specifically addressing projection and symmetry.
• The procedure is efficient, allowing for simultaneous mastectomy and reconstruction within a reduced timeframe.