Endoscopic muscular latissimus dorsi flap harvesting for immediate breast reconstruction after skin sparing mastectomy

Aim: Immediate breast reconstruction after mastectomy using the latissimus dorsi musculo-cutaneous flap is well recognized. It allows for satisfactory aesthetic results. To minimize scanning in skin sparing mastectomy patients, we used a surgical technique consisting of an endoscopic harvesting of t...

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Bibliographic Details
Published in:European journal of surgical oncology 2003-03, Vol.29 (2), p.127-131
Main Authors: Pomel, C, Missana, M.C, Atallah, D, Lasser, P
Format: Article
Language:English
Subjects:
Adult
Breast Neoplasms - surgery
Endoscopy
endoscopy, latissimus dorsi immediate breast reconstruction
Female
Humans
Mammaplasty - methods
Mastectomy, Subcutaneous
Middle Aged
Postoperative Complications
Surgical Flaps
Tissue and Organ Harvesting - methods
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Summary:Aim: Immediate breast reconstruction after mastectomy using the latissimus dorsi musculo-cutaneous flap is well recognized. It allows for satisfactory aesthetic results. To minimize scanning in skin sparing mastectomy patients, we used a surgical technique consisting of an endoscopic harvesting of the latissimus dorsi pure muscular flap with a virtual cavity created by CO2 gas distention. Method: Between 9 April 2001 and 30 September 2001, 8 patients underwent latissimus dorsi endoscopic harvesting for an immediate breast reconstruction after skin sparing mastectomy. Result: The mean operating endoscopic time was 112minutes. No open surgical conversion was necessary. The mean lymphatic drainage was 2720ml with removal of the drainage on post operative day 15. Conclusion: The endoscopic harvesting of the latissimus dorsi muscular flap, using a mixed technique of dissection guided by the lighted cleaver forceps and a closed technique by CO2 insufflation using an endoscope is feasible, reproducible and has acceptable morbidity. This technique brings encouraging aesthetic results after skin sparing mastectomy.
ISSN:0748-7983
1532-2157
DOI:10.1053/ejso.2002.1326