Dealing with the non-healing; Donor site defect following latissimus dorsi myocutaneous flap in breast reconstruction

被引:0
作者
Khan M. [1 ]
Georgeu G.A. [1 ]
Niranjan N. [1 ]
机构
[1] St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Mid Essex NHS Trust, Broomfield, Chelmsford
关键词
Deep inferior epigastric artery perforator flap; Donor site defect; Epithelial lined cavity; Extended latissimus dorsi myocutaneous flap (ELD); Immediate breast reconstruction (IBR);
D O I
10.1007/s00238-009-0388-6
中图分类号
学科分类号
摘要
We present two cases of donor site morbidity following immediate breast reconstruction using the extended latissimus dorsi myocutaneous flap. Early post operative dehiscence occurred in both cases, followed by a prolonged period of expectant and conservative management. Plastic surgical intervention involved exploration and removal of significant epithelial lined cavities and reconstruction using local flaps to solve this complication. © 2009 Springer-Verlag.
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页码:93 / 96
页数:3
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共 9 条
  • [1] Breast Cancer-incidence Rises while Deaths Continue to Fall
  • [2] Improving outcomes in breast cancer-manual update, NICE Guidelines, (2002)
  • [3] Radovan C., Breast reconstruction after mastectomy using the temporary expander, Plastic and Reconstructive Surgery, 69, 2, pp. 195-208, (1982)
  • [4] Hokin J.A.B., Mastectomy reconstruction without a prosthetic implant, Plast Reconstr Surg, 72, pp. 810-816, (1983)
  • [5] Granzow J.W., Levine J.L., Chiu E.S., LoTempio M.M., Allen R.J., Breast reconstruction with perforator flaps, Plastic and Reconstructive Surgery, 120, 1, pp. 1-12, (2007)
  • [6] Roy M.K., Shrotia S., Holcombe C., Webster D.J.T., Hughes L.E., Mansel R.E., Complications of latissimus dorsi myocutaneous flap breast reconstruction, European Journal of Surgical Oncology, 24, 3, pp. 162-165, (1998)
  • [7] Chang D.W., Youssef A., Cha S., Reece G.P., Autologous breast reconstruction with the extended latissimus dorsi flap, Plastic and Reconstructive Surgery, 110, 3, pp. 751-759, (2002)
  • [8] Tomita K., Yano K., Masuoka T., Matsuda K., Takada A., Hosokawa K., Postoperative seroma formation in breast reconstruction with latissimus dorsi flaps: A retrospective study of 174 consecutive cases, Annals of Plastic Surgery, 59, 2, pp. 149-151, (2007)
  • [9] Apffelstaedt J., Indications and complications of latissimus dorsi myocutaneous flaps in oncologic breast surgery, World Journal of Surgery, 26, 9, pp. 1088-1093, (2002)