The Versatility of the Fat-extended, Muscle-sparing Latissimus Dorsi Flap in Breast Reconstruction.

ABSTRACT:

Background

The latissimus dorsi (LD) myocutaneous flap is widely used in breast reconstruction, often combined with implants, due to its reliable vascular axis. However, traditional techniques can result in functional deficits and complications. The fat-extended muscle-sparing LD flap (FEMSLDF) was developed to optimize breast volume restoration while minimizing complications. This study aimed to evaluate the effectiveness, safety, and patient satisfaction associated with the FEMSLDF.

Methods

A prospective study was conducted on 172 patients who underwent FEMSLDF-based breast reconstruction (immediate, delayed, or salvage) between January 2018 and November 2023. The surgical technique prioritized preserving the LD muscle while using surrounding subcutaneous fat for volume re

SUBMITTER: La Padula S 

PROVIDER: S-EPMC12422770 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature