Abstract
Use of an autologous latissimus flap in breast reconstruction accounts for a supple and natural look of reconstructed breast. Most common postoperative complication, seroma, became more of a rule then an exception when it comes to postoperative evaluation of the patients who underwent this reconstructive procedure. A retrospective study analysing and evaluating different complication rates in 20 patients who underwent breast reconstruction by autologous latissimus flap, was conducted. All patients included in the study were operated at the Department of plastic surgery of Hôpital Civil in Strasbourg, France, between 1996 and 2008. The complication rates were noted as follows: seroma in 19 of our 20 patients (95%), late hypertrophic scarring in 3 patients (15%), postoperative surgical site hematoma in 3 patients (15%), and 2 patients (10%) presented postoperative chronic back pain. Different options used in seroma treatment and prevention (subcutaneous-fascia anchor sutures of donor site, application of corticosteroids by injection into donor site postoperatively, passive drainage) can reduce seroma formation and thus overall complication rates, leading to much faster patient's recovery time and return to normal daily activities.
Highlights
Be avoided ( ). e latissimus dorsi flap can be used for breast reconstruction with or without a breast implant
Following complications were submitted to analysis: presence of seroma and the number of puncture-evacuations, quantity of evacuated liquid content, late hypertrophic scarring, skin necrosis, signs of postoperative infection, hematoma and pain
Surgical treatment of breast cancer causes yet another problem in women already psychologically affected by the grave diagnosis - an aesthetic one
Summary
MUFID BURGIĆ ET AL.: COMPLICATIONS FOLLOWING AUTOLOGOUS LATISSIMUS FLAP BREAST RECONSTRUCTION be avoided ( ). e latissimus dorsi flap can be used for breast reconstruction with or without a breast implant. MUFID BURGIĆ ET AL.: COMPLICATIONS FOLLOWING AUTOLOGOUS LATISSIMUS FLAP BREAST RECONSTRUCTION be avoided ( ). E latissimus dorsi flap can be used for breast reconstruction with or without a breast implant. In women with very small breasts, the latissimus dorsi flap may provide enough bulk and size without the need for an implant. In most patients, it is necessary to include an implant at the time of the reconstruction ( ). E most common complication in latissimus autologous breast reconstruction is seroma formation. It is a difficult problem to treat and prevent. Most times, this fluid will reabsorb on its own. The aim of this study was to determine different complications rates in patients who underwent autologous latissimus flap breast reconstruction
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