Authors : Rangaswamy Gurram, Akshay Kantilal Bora, Temoor Mohammad Khan
DOI : 10.18231/j.pjms.2023.024
Volume : 13
Issue : 1
Year : 2023
Page No : 114-119
Background: The majority of oncological operations for breast tumors need substantial excision of locally advanced breast tumors, as well as high volume flaps for defect repair.
Aim: The function of the latissimus dorsi myocutaneous flap (LDMF) in oncoplastic replenishment of major soft tissue lesions involving the breast, as well as the rate of success and complications of the flap, were investigated in this series.
Materials and Methods: all patients in this study were operated by single faculty at a regional cancer centre in Telangana, India. During the period from 2018- may, to 2020 December. This series includes 33 cases of LDMF repair done at our center.
Results: The patients ranged in age from 30 to 70 years old, with a 6-month follow-up period. The main problem was immediately repaired in all of the patients. In our group of 33 patients, the flap had healed mainly without flap congestion in 27 of them. Wound infection with skin bride necrosis in one patient, flap marginal necrosis in four cases, and seroma development at the defect location in four patients were all mild postoperative problems.
Conclusion: In autologous reconstruction, LDMF can offer tissue volume as well as a stable vascular pedicle. When compared to the TRAM flap, DIEP flap, and other breast reconstructive methods, the percentage of postoperative problems is acceptable. LDMF should be used more frequently since it is a technically simple technique that gives appropriate coverage of a wide range of abnormalities, acceptable aesthetic results, and few postoperative problems.
Keywords: locally advanced Breast cancer, Breast reconstruction, Latissimus dorsi flap