EARLY COMPLICATIONS AFTER SECONDARY BREAST RECONSTRUCTION USING LATISSIMUS DORSI MYOCUTANEOUS FLAP AND SILICONE BREAST IMPLANTS

Abstract

Introduction: Secondary breast reconstruction is a multifactorial decision. It is based on the need for neoadjuvant/adjuvant treatment, lifestyle and expected cosmetic outcome of the patient. Aim of this study was to show early complications related with secondary breast reconstruction using latissimus dorsi miocutaneous flap and silicone breast implants. Material and methods: This retrospective study was made with 24 patients who were treated at the Institute for Oncology Vojvodina in the period from 2007 to 2013. At all patients we underwent secondary breast reconstruction using pedicle latissimus dorsi myocutaneous flap (LDMF) and silicone breast implant. Results: Almost at all patients we identified prolonged seroma formation like complication related to donor site (21/24 (87.5%)). Radiotherapy and chemiotherapy after first operation have statistical significance on complications after LDMF. Smoking and obesity have no influence on complications Conclusion: Breast reconstruction using LDMF is related with small number of early postoperative complications and gives acceptable aesthetic results.

Keywords

• breast reconstruction
• latisimus dorsi myocutaneous flap
• breast cancer
• breast surgery