Reconstruction of breast after super-radical mastectomy with a pedicled latissimus dorsi flap and a free TRAM flap.
Reconstruction of the breast after super-radical mastectomy is difficult because not only a breast mound but also the subclavicular and anterior axillary regions must be reconstructed simultaneously. If a defect is extremely large a single flap cannot fulfil these two purposes. For this goal we use two flaps, an ipsilateral pedicled latissimus dorsi musculocutaneous flap and a free TRAM flap pedicled on the inferior epigastric vessels. A latissimus dorsi flap along with a silicone gel prosthesis is used to reconstruct a breast mound and the free TRAM flap is transferred to augment the subclavicular and anterior axillary regions. We have used this technique successfully in three cases.
Harashina
T
T
Department of Plastic Surgery, Saitama Medical Center, Japan.
Inoue
T
T
Sasaki
K
K
Tanaka
I
I
Kiyoizumi
T
T
D000328:Adult; D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D008722:Methods; D008875:Middle Aged; D019736:Prostheses and Implants; D013524:Surgical Flaps