| Autor: |
Andrea Loreti, Edoardo Bruno, Ornella Abate, Floriana Arelli, Diana Spallone, Massimo La Pinta, Tiziana Matropietro, Elisabetta Ponti, Laura Broglia, Leopoldo Costarelli, Paola Scavina, Diego Ribuffo, Lucio Fortunato |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
JPRAS Open, Vol 40, Iss , Pp 194-205 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2352-5878 |
| DOI: |
10.1016/j.jpra.2024.03.004 |
| Popis: |
SUMMARY: Introduction: Scarless latissimus dorsi (LD) flap is a breast reconstruction technique, which allow to cover the lower pole of implant with a large portion of the LD muscle without skin paddle; it represents a surgical solution that transpose vascularized tissue avoiding the failure of breast reconstruction, following necrosis of mastectomy skin flaps. Material and Method: A retrospective review of patients undergoing immediate or delayed breast reconstruction using scarless LD flap reconstructions was performed. Clinical data obtained from follow-up visits were recorded. To evaluate breast shape contentment and patient satisfaction, the patients were requested to answer the Breast-Q, version 2.0 reduction module postoperative scales questionnaire at the 12-month follow-up. Results: We performed 19 scarless LD flap reconstructions between September 2019 and June 2022. The surgical time in average (considering minutes ± SD) was 130 (±15) minutes. The aesthetic assessment was good/excellent in 83% of patients. This was statistically significant (P=0.0). Conclusions: The scarless LD flap reconstruction is a valid and reliable solution, which has the advantage to reduce the risk of exposed prosthesis if native skin necrosis occurs. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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