Abstract
In a 6-year period of retrospective study, the results of 3 methods of breast reconstruction after mastectomy were compared. The tissue expansion and implant (TEI) method was found to offer an acceptable reconstruction but it was associated with a higher rate of complications and lower rate of patient satisfaction. Autogenous tissue transfer, latissimus dorsi (LD) myocutaneous flap and free transverse rectus abdominis myocutaneous (TRAM) flap provided a more satisfactory reconstruction with fewer complications as well as a higher patient satisfactory rate. Free TRAM flap exhibited the best aesthetic results, but the procedure is meticulous and time consuming. In this series we have found that breast reconstruction with LD myocutaneous flap suited well in most of the patients who had small or medium sized breast, no major complications in this group was noted and the patient satisfactory rate is high.
Published Version
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