Breast Reconstruction using the Anterior Approach Scarless Latissimus Dorsi Muscular flap: A Single Center Retrospective Study

Abstract

IntroductionScarless Latissimus Dorsi (LD) flap is a breast reconstruction technique which allow to cover the lower pole of implant with a large portion of the latissimus dorsi muscle without skin paddle; it represents a surgical solution that transpose vascularized tissue avoiding the failure of breast reconstruction, following necrosis of mastectomy skin flaps. Material and MethodA retrospective review of patients undergoing immediate or delayed breast reconstruction using scarless LD flap reconstructions was performed. Clinical data obtained from follow-up visits were recorded. To evaluate breast shape contentment and patient satisfaction, it was requested to the patients to answer the Breast-Q, version 2.0 reduction module postoperative scales questionnaire at the twelve-month follow-up. ResultsWe performed 19 scarless LD flap reconstruction between September 2019 to June 2022. The surgical time in average (considering minutes ± SD) was 130 (± 15) minutes.. The aesthetic assessment was good/excellent in 83% of patients. This was statistically significant (P=0.0). ConclusionsThe scarless latissimus dorsi flap reconstruction is a valid and reliable solution, which has the advantage to reduce the risk of exposed prosthesis if native skin necrosis occurs.