A case of breast reconstruction using waistline incisional extended latissimus dorsi muscle flap
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- 作者：Atsumori Hamahata (1)
Kazuyuki Kubo (2)
Takashi Saitou (1)
Takashi Yamaki (3)
Hiroyuki Takei (2)
Hiroyuki Sakurai (3) - 关键词：Breast reconstruction ; Extended latissimus dorsi flap ; Waistline ; Harmonic focus
- 刊名：International Cancer Conference Journal
- 出版年：2013
- 出版时间：October 2013
- 年：2013
- 卷：2
- 期：4
- 页码：234-237
- 全文大小：
- 作者单位：Atsumori Hamahata (1)
Kazuyuki Kubo (2)
Takashi Saitou (1)
Takashi Yamaki (3)
Hiroyuki Takei (2)
Hiroyuki Sakurai (3)
1. Department of Plastic and Reconstructive Surgery, Saitama Cancer Center, Saitama, Japan
2. Department of Breast Surgery, Saitama Cancer Center, Saitama, Japan
3. Department of Plastic and Reconstructive Surgery, Tokyo Women? Medical University, Shinjuku, Japan - ISSN：2192-3183
文摘
Breast reconstruction using extended latissimus dorsi (ELD) flap often results in a large and somewhat conspicuous back scar, even though several surgical design modifications have been reported. Patients often complain of self-consciousness when wearing bikinis and a reluctance to visit pools or hot springs where the back scar would be easily seen. We performed a single-stage breast reconstruction operation in which the ELD muscle flap with cutaneous fat pad was elevated through a waistline incision. The patient underwent a nipple-sparing mastectomy by breast surgeons. The patient? breast volume was small, and the weight of excised breast tissue was 74?g. As a result of this small size, the latissimus dorsi muscle flap with subcutaneous fat pad alone had sufficient volume for the patient? breast reconstruction, and the flap was elevated through the patient? waistline incision. The patient? undergarments easily hid the waistline scar, and her back was scar-free. Patients with smaller sized breasts who undergo a nipple-sparing mastectomy procedure and choose not to use synthetic implants can achieve successful reconstruction results using the waistline incisional ELD muscle flap.