Method for total, immediate, post-mastectomy breast reconstruction using a latissimus dorsi myocutaneous flap

摘要

A technique for immediate, total breast reconstruction is described that equally preserves the skin of both the mastectomy and remaining breast. The technique is most applicable to a mastectomy which is performed through a circumareolar incision. Replacement tissue for the excised nipple-areolar complex is provided by a latissimus dorsi flap having a cutaneous peg. The pectoralis major and latissimus dorsi flap serve to create a submuscular prosthetic compartment. The submuscular compartment, together with the volume of the latissimus dorsi flap, closely approximates the volume of the contralateral breast, and the normal contour of the breast skin envelope. Accordingly, insertion of a permanent implant instead of an expander is possible. The nipple-areolar reconstruction can also be completed at the initial operative stage.