title: The value of latissimus dorsi flap with implant reconstruction for total mastectomy after conservative breast cancer surgery recurrence.
abstract: Total mastectomy is usually indicated after breast conservative treatment cancer recurrence. Breast reconstruction in this group can be performed with many options. We did 63 latissimus dorsi flap with implants reconstructions between 2001-2007. All of them were performed in breast cancer recurrence cases after breast conservative treatment and preceded for total mastectomy. The patient age range from 31 to 71 years old (50.1 ± 7.3 years). The follow-up was 36.5 ± 14.9 months (22-141 months). Neither flap loss nor significant major donor-site complication was recorded. The capsular contraction Baker's grade III was observed in 2 cases (3.1%). The rest were grade I-II and there was no grade IV contracture. We purpose that LD flap with implant can be performed in irradiated breast with low capsular contracture rate. It is suitable in total mastectomy reconstruction after conservative breast cancer surgery recurrence.
authors.affiliation: Division of Plastic Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milano, Italy. cristina.garusi@ieo.it
authors.forename: Cristina
authors.initials: C
authors.lastname: Garusi
authors.forename: Visnu
authors.initials: V
authors.lastname: Lohsiriwat
authors.forename: Fabricio
authors.initials: F
authors.lastname: Brenelli
authors.forename: Viviana Enrica
authors.initials: VE
authors.lastname: Galimberti
authors.forename: Francesca
authors.initials: F
authors.lastname: De Lorenzi
authors.forename: Mario
authors.initials: M
authors.lastname: Rietjens
authors.forename: Fabio
authors.initials: F
authors.lastname: Rossetto
authors.forename: Jean Yves
authors.initials: JY
authors.lastname: Petit
mesh_terms: D000328:Adult; D000368:Aged; D019928:Breast Implantation; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D006801:Humans; D057910:Implant Capsular Contracture / Q000453:epidemiology / Q000601:surgery; D016462:Mammaplasty / Q000295:instrumentation / Q000379:methods*; D008408:Mastectomy; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome