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Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction

The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast recons...

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Autores principales: Peshel, Emanuela C., McNary, Claire M., Barkach, Catherine, Boudiab, Elizabeth M., Vega, Daniella, Nossoni, Farid, Chaiyasate, Kongkrit, Powers, Jeremy M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411213/
https://www.ncbi.nlm.nih.gov/pubmed/37564714
http://dx.doi.org/10.1055/a-2045-8122
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author Peshel, Emanuela C.
McNary, Claire M.
Barkach, Catherine
Boudiab, Elizabeth M.
Vega, Daniella
Nossoni, Farid
Chaiyasate, Kongkrit
Powers, Jeremy M.
author_facet Peshel, Emanuela C.
McNary, Claire M.
Barkach, Catherine
Boudiab, Elizabeth M.
Vega, Daniella
Nossoni, Farid
Chaiyasate, Kongkrit
Powers, Jeremy M.
author_sort Peshel, Emanuela C.
collection PubMed
description The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case–control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction.
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spelling pubmed-104112132023-08-10 Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction Peshel, Emanuela C. McNary, Claire M. Barkach, Catherine Boudiab, Elizabeth M. Vega, Daniella Nossoni, Farid Chaiyasate, Kongkrit Powers, Jeremy M. Arch Plast Surg The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case–control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction. Thieme Medical Publishers, Inc. 2023-08-02 /pmc/articles/PMC10411213/ /pubmed/37564714 http://dx.doi.org/10.1055/a-2045-8122 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Peshel, Emanuela C.
McNary, Claire M.
Barkach, Catherine
Boudiab, Elizabeth M.
Vega, Daniella
Nossoni, Farid
Chaiyasate, Kongkrit
Powers, Jeremy M.
Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction
title Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction
title_full Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction
title_fullStr Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction
title_full_unstemmed Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction
title_short Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction
title_sort systematic review of patient-reported outcomes and complications of pedicled latissimus flap breast reconstruction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411213/
https://www.ncbi.nlm.nih.gov/pubmed/37564714
http://dx.doi.org/10.1055/a-2045-8122
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