title: [Secondary breast bilateral reconstruction with myocutaneous pedicled latissimus dorsi flap after primary bilateral skin sparing mastectomy reconstruction with consecutive severe capsular contraction].
abstract: We present a patient who was operated due to bilateral breast carcinoma with immediate bilateral breast reconstruction with silicone implants after skin sparing mastectomy in a neighbouring country to Croatia. One year following the operation a severe bilateral capsular contracture was manifested. Due to a large umbilical hernia and lower laparotomy scar it was not possible to reconstruct the breasts with any abdominal free or pedicled flap. We performed bilateral secondary breast reconstruction with latissimus dorsi myocutaneous flap and silicone implants in two stages with good postoperative result.
authors.affiliation: Zavod za plasticnu kirurgiju, Klinika za kirurgiju KBC-a Zagreb. plasurg@kbc-zagreb.hr
authors.forename: Davor
authors.initials: D
authors.lastname: Mijatović
authors.forename: Kresimir
authors.initials: K
authors.lastname: Bulić
authors.forename: Josip
authors.initials: J
authors.lastname: Unusić
mesh_terms: D000328:Adult; D018427:Breast Implants / Q000009:adverse effects; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D015414:Mastectomy, Subcutaneous / Q000534:rehabilitation*; D012086:Reoperation; D013524:Surgical Flaps