2İstanbul Üniversitesi Onkoloji Enstitüsü, Medikal Onkoloji Bilim Dalı, İstanbul
3İstanbul Üniversitesi Onkoloji Enstitüsü, Radyasyon Onkolojisi Bilim Dalı, İstanbul OBJECTIVES
Over the years, the number of patients undergoing breast reconstruction has increased dramatically. Latissimus dorsi myocutaneous flap is a safe and reliable technique for breast reconstruction.
METHODS
A review was performed on 30 patients who underwent
expended latissimus dorsi myocutaneous flap reconstruction
between 1989 and 2010.
RESULTS
All patients had modified radical mastectomy and adjuvant radiation
therapy, and reconstruction was delayed for 10 to 46
months after mastectomy. Acceptable symmetry was obtained
in 15 of patients without the need for surgery on opposite
breast. No serious complications were observed both perioperative
and long term periods.
CONCLUSION
This method of reconstruction has met patient expectations
with minimal number of procedures and low morbidity. Also,
in selected patients the latissimus dorsi flap together with onestage
expandable mammary implant can provides a good alternative
to a TRAM flap.