Indications and technical principles of latissimus dorsi myocutaneous flap breast reconstruction / 中国实用外科杂志

ABSTRACT

Latissimus dorsi musculocutaneous flaps can be used for delayed or immediate breast reconstruction.It can be used in combination with the prosthesis.Latissimus dorsi flap combined with breast prosthesis is recommended for the repair of large local defects after mastectomy and axillary lymph node dissection.For patients who can not use rectus abdominis flap due to abdominal surgery or abdominal diseases,latissimus dorsi flap is the first choice for breast reconstruction.However,the flap shouldn't be used if surgeons suspect any problems of thoracic dorsal artery,subscapularis artery or latissimus dorsi muscle.Comprehensive evaluation and aesthetic design are needed before operation.