Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap
Delayed breast reconstruction after irradiated mastectomy cases includes a large series of reconstructive procedures like silicone implant/expander, numerous flaps or combined methods. Bad status of irradiated tissues needs to find a way to ensure a stable breast feature. Latissimus dorsi myocutaneo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Editura Universitara Carol Davila
2019-05-01
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| Series: | Journal of Surgical Sciences |
| Subjects: | |
| Online Access: | http://journalofsurgicalsciences.com/index.php/jss/article/view/257 |
| _version_ | 1818360544739983360 |
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| author | Andrei Ludovic Poroșnicu Marius Cotofana Alina Ionela Mitcan Ina Petrescu |
| author_facet | Andrei Ludovic Poroșnicu Marius Cotofana Alina Ionela Mitcan Ina Petrescu |
| author_sort | Andrei Ludovic Poroșnicu |
| collection | DOAJ |
| description | Delayed breast reconstruction after irradiated mastectomy cases includes a large series of reconstructive procedures like silicone implant/expander, numerous flaps or combined methods. Bad status of irradiated tissues needs to find a way to ensure a stable breast feature. Latissimus dorsi myocutaneous flap with implant represents one of classical methods of breast reconstruction providing a new breast with superior appearance. The aim of this paper is to present the advantages of breast reconstruction with latissimus dorsi flap and silicone-filled implant. New breast is created by combining the silicone implant placed under pectoralis major muscle and latissimus dorsi myocutaneous flap. Markings of flap is performed with the patients in standing position; first the new inframammary fold and midline and on back the skin paddle is design after a pinch test to check the amount available and the future donor site closure. It is recommended to place the incisions in transverse position so that the scar to be hidden in bra line. The study includes 84 patients who underwent breast reconstruction from April 2014 to April 2016. 57 were latissimus dorsi flap with implant and 5 from which were for salvage another breast reconstruction. The patient’s age was average between 32 and 69 years. The implants used were round shape implants, silicone filled with micro-textured shell. Combination between autologous tissue and implant offer superior appearance of new breast with shape, volume, natural ptosis and consistency similar with normal breast. Also, fast recovering and socio-professional reintegration are the benefits of this method. Analyzing different surgical option, breast reconstruction with latissimusdorsi flap and silicone implant seems to offer very good results with minimum complications in such difficult cases. This method can be suitable for almost all irradiated postmastectomy cases. |
| first_indexed | 2024-12-13T21:02:29Z |
| format | Article |
| id | doaj.art-3b4d9a11a3e0442a9261162cb7c66cee |
| institution | Directory Open Access Journal |
| issn | 2360-3038 2457-5364 |
| language | English |
| last_indexed | 2024-12-13T21:02:29Z |
| publishDate | 2019-05-01 |
| publisher | Editura Universitara Carol Davila |
| record_format | Article |
| series | Journal of Surgical Sciences |
| spelling | doaj.art-3b4d9a11a3e0442a9261162cb7c66cee2022-12-21T23:31:34ZengEditura Universitara Carol DavilaJournal of Surgical Sciences2360-30382457-53642019-05-01613810.33695/jss.v6i1.257257Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flapAndrei Ludovic PoroșnicuMarius CotofanaAlina Ionela MitcanIna PetrescuDelayed breast reconstruction after irradiated mastectomy cases includes a large series of reconstructive procedures like silicone implant/expander, numerous flaps or combined methods. Bad status of irradiated tissues needs to find a way to ensure a stable breast feature. Latissimus dorsi myocutaneous flap with implant represents one of classical methods of breast reconstruction providing a new breast with superior appearance. The aim of this paper is to present the advantages of breast reconstruction with latissimus dorsi flap and silicone-filled implant. New breast is created by combining the silicone implant placed under pectoralis major muscle and latissimus dorsi myocutaneous flap. Markings of flap is performed with the patients in standing position; first the new inframammary fold and midline and on back the skin paddle is design after a pinch test to check the amount available and the future donor site closure. It is recommended to place the incisions in transverse position so that the scar to be hidden in bra line. The study includes 84 patients who underwent breast reconstruction from April 2014 to April 2016. 57 were latissimus dorsi flap with implant and 5 from which were for salvage another breast reconstruction. The patient’s age was average between 32 and 69 years. The implants used were round shape implants, silicone filled with micro-textured shell. Combination between autologous tissue and implant offer superior appearance of new breast with shape, volume, natural ptosis and consistency similar with normal breast. Also, fast recovering and socio-professional reintegration are the benefits of this method. Analyzing different surgical option, breast reconstruction with latissimusdorsi flap and silicone implant seems to offer very good results with minimum complications in such difficult cases. This method can be suitable for almost all irradiated postmastectomy cases.http://journalofsurgicalsciences.com/index.php/jss/article/view/257silicone implantssecondary breast reconstructionradiotherapy |
| spellingShingle | Andrei Ludovic Poroșnicu Marius Cotofana Alina Ionela Mitcan Ina Petrescu Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap Journal of Surgical Sciences silicone implants secondary breast reconstruction radiotherapy |
| title | Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap |
| title_full | Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap |
| title_fullStr | Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap |
| title_full_unstemmed | Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap |
| title_short | Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap |
| title_sort | micro textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap |
| topic | silicone implants secondary breast reconstruction radiotherapy |
| url | http://journalofsurgicalsciences.com/index.php/jss/article/view/257 |
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