Latissimus dorsi myocutaneous flap for cover of soft tissue defects: Experience of a regional cancer center of North East India

Abstract

Background: Most of the oncological surgeries require extensive resection of tumors and repair of the defects with flaps. Aim: In this series the role of using latissimus dorsi myocutaneous flap (LDMF) for oncoplastic replenishment of soft tissue defects involving breast, chest wall, and back was explored. Materials and Methods: The patients in this study are cases treated at a regional cancer center in the northeast India. During the period from January 2010-January 2013, 18 cases of LDMF reconstruction were performed in our center and are included in this series. Results: The patients were in the age range of 10-50 years with a follow-up period ranging from 6-24 months. All patients underwent immediate reconstruction of the primary defect. In our series out of 18 patients, in 13 patients the flap had healed primarily without flap congestion, margin necrosis, or infection. The following minor postoperative complications were observed, like wound infection with skin necrosis in one patient (5.5%) and seroma formation was see at both the donor site and at the defect site in four patients (22%). Conclusion : LDMF should be utilized more often, as it is technically a straightforward procedure that provides adequate coverage of varied defects, acceptable cosmetic outcomes with minimal postoperative complications.