Dorsal Lipomodeling to Treat Donor Site After Latissimus Dorsi Flap: Safety and Effectiveness.
Journal
Aesthetic surgery journal
ISSN: 1527-330X
Titre abrégé: Aesthet Surg J
Pays: England
ID NLM: 9707469
Informations de publication
Date de publication:
28 Sep 2023
28 Sep 2023
Historique:
received:
04
07
2023
revised:
29
08
2023
accepted:
01
09
2023
medline:
28
9
2023
pubmed:
28
9
2023
entrez:
28
9
2023
Statut:
aheadofprint
Résumé
The latissimus dorsi flap (LDF) is a classic and efficient technique for breast reconstruction. However, lately its use has diminished in surgical practice due to dorsal disadvantages and to the increased use of microsurgical techniques for breast reconstruction, like the DIEP flap. To manage the dorsal problems like asymmetry, irregularities and dysesthesia, we suggest lipomodeling the back region during the second surgery for breast reconstruction. The purpose of this paper is to evaluate the safety and efficacy of the technique. Analysis a series of 300 patients operated by the last author for dorsal lipomodeling to correct the sequels after harvesting the total LDF, between November 2012 and March 2019. The results show a very good improvement of the dorsal region in 6.7% of cases, good improvement in 86.7% cases and a fair improvement in 6.7% of cases. Regarding the improvement of the dorsal comfort, a good improvement in 90% of cases, a very good improvement in 6.66 % of cases and a fair improvement in 6.66% of cases. 5% of cases required two sessions in order to obtain a satisfactory result. No major complications were registered, and the only complication encountered was oil cysts in 2.6% of cases that were treated during consultation with percutaneous puncture. Our study showed that lipomodeling in the back area after LD harvesting is an efficient and safe technique that corrects the secondary dorsal sequelae like irregularities, asymmetry, sensitivity and dysesthesia. We use it systematically after autologous latissimus dorsi flap harvesting. This technique should increase the indications of LDF because it decreases the donor site sequelae, which are one of main criticisms of this technique.
Sections du résumé
BACKGROUND
BACKGROUND
The latissimus dorsi flap (LDF) is a classic and efficient technique for breast reconstruction. However, lately its use has diminished in surgical practice due to dorsal disadvantages and to the increased use of microsurgical techniques for breast reconstruction, like the DIEP flap.
OBJECTIVES
OBJECTIVE
To manage the dorsal problems like asymmetry, irregularities and dysesthesia, we suggest lipomodeling the back region during the second surgery for breast reconstruction. The purpose of this paper is to evaluate the safety and efficacy of the technique.
METHODS
METHODS
Analysis a series of 300 patients operated by the last author for dorsal lipomodeling to correct the sequels after harvesting the total LDF, between November 2012 and March 2019.
RESULTS
RESULTS
The results show a very good improvement of the dorsal region in 6.7% of cases, good improvement in 86.7% cases and a fair improvement in 6.7% of cases. Regarding the improvement of the dorsal comfort, a good improvement in 90% of cases, a very good improvement in 6.66 % of cases and a fair improvement in 6.66% of cases. 5% of cases required two sessions in order to obtain a satisfactory result. No major complications were registered, and the only complication encountered was oil cysts in 2.6% of cases that were treated during consultation with percutaneous puncture.
CONCLUSIONS
CONCLUSIONS
Our study showed that lipomodeling in the back area after LD harvesting is an efficient and safe technique that corrects the secondary dorsal sequelae like irregularities, asymmetry, sensitivity and dysesthesia. We use it systematically after autologous latissimus dorsi flap harvesting. This technique should increase the indications of LDF because it decreases the donor site sequelae, which are one of main criticisms of this technique.
Identifiants
pubmed: 37768715
pii: 7285214
doi: 10.1093/asj/sjad302
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.