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Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location
BACKGROUND: We conducted a prospective cohort study to evaluate effective techniques for breast reconstruction after partial mastectomy due to breast cancer. Determining the method of reconstruction is often difficult as it depends on the location of the cancer and the amount of tissue excised.. Her...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336010/ https://www.ncbi.nlm.nih.gov/pubmed/35902895 http://dx.doi.org/10.1186/s12893-022-01741-6 |
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author | Lee, Jong Ho Ryu, Jeong Yeop Choi, Kang Young Yang, Jung Dug Chung, Ho Yun Cho, Byung Chae Kang, Byungju Lee, Jeeyeon Park, Ho Yong Lee, Joon Seok |
author_facet | Lee, Jong Ho Ryu, Jeong Yeop Choi, Kang Young Yang, Jung Dug Chung, Ho Yun Cho, Byung Chae Kang, Byungju Lee, Jeeyeon Park, Ho Yong Lee, Joon Seok |
author_sort | Lee, Jong Ho |
collection | PubMed |
description | BACKGROUND: We conducted a prospective cohort study to evaluate effective techniques for breast reconstruction after partial mastectomy due to breast cancer. Determining the method of reconstruction is often difficult as it depends on the location of the cancer and the amount of tissue excised.. Here, we present a new technique, using the vertical latissimus dorsi (LD) flap, that can be used in all partial mastectomies and can almost conceal scarring. We also compared these results to those of the mini LD flap. METHODS: We analyzed the data of a total of 50 and 47 patients, who underwent breast reconstruction with the mini LD flap and the vertical LD flap, respectively. Immediately after tumor excision, breast reconstruction was initiated. The skin flap for vertical LD was designed in a planarian shape, such that it may be hidden as much as possible and minimize bulging during closure, and the LD muscle flap was designed with a sufficient distance in the inferior direction. RESULTS: Our finding showed that the vertical LD flap group required significantly less total operation time than the mini LD flap group. While the mini-LD flap resulted in a scar that was difficult to conceal, the donor site scar of the vertical LD flap could not be seen easily, and no scar was visible on the back. CONCLUSIONS: The vertical LD flap is useful for partial breast reconstruction, in all breast regions requires a rather small volume of the flap. Moreover, recovery was relatively fast with high patient satisfaction. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12893-022-01741-6. |
format | Online Article Text |
id | pubmed-9336010 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-93360102022-07-30 Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location Lee, Jong Ho Ryu, Jeong Yeop Choi, Kang Young Yang, Jung Dug Chung, Ho Yun Cho, Byung Chae Kang, Byungju Lee, Jeeyeon Park, Ho Yong Lee, Joon Seok BMC Surg Research BACKGROUND: We conducted a prospective cohort study to evaluate effective techniques for breast reconstruction after partial mastectomy due to breast cancer. Determining the method of reconstruction is often difficult as it depends on the location of the cancer and the amount of tissue excised.. Here, we present a new technique, using the vertical latissimus dorsi (LD) flap, that can be used in all partial mastectomies and can almost conceal scarring. We also compared these results to those of the mini LD flap. METHODS: We analyzed the data of a total of 50 and 47 patients, who underwent breast reconstruction with the mini LD flap and the vertical LD flap, respectively. Immediately after tumor excision, breast reconstruction was initiated. The skin flap for vertical LD was designed in a planarian shape, such that it may be hidden as much as possible and minimize bulging during closure, and the LD muscle flap was designed with a sufficient distance in the inferior direction. RESULTS: Our finding showed that the vertical LD flap group required significantly less total operation time than the mini LD flap group. While the mini-LD flap resulted in a scar that was difficult to conceal, the donor site scar of the vertical LD flap could not be seen easily, and no scar was visible on the back. CONCLUSIONS: The vertical LD flap is useful for partial breast reconstruction, in all breast regions requires a rather small volume of the flap. Moreover, recovery was relatively fast with high patient satisfaction. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12893-022-01741-6. BioMed Central 2022-07-28 /pmc/articles/PMC9336010/ /pubmed/35902895 http://dx.doi.org/10.1186/s12893-022-01741-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Lee, Jong Ho Ryu, Jeong Yeop Choi, Kang Young Yang, Jung Dug Chung, Ho Yun Cho, Byung Chae Kang, Byungju Lee, Jeeyeon Park, Ho Yong Lee, Joon Seok Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location |
title | Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location |
title_full | Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location |
title_fullStr | Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location |
title_full_unstemmed | Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location |
title_short | Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location |
title_sort | useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336010/ https://www.ncbi.nlm.nih.gov/pubmed/35902895 http://dx.doi.org/10.1186/s12893-022-01741-6 |
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