Milan Ranisavljevic, Ljiljana Budisic Ranisavljevic, Vladimir Selakovic, Dejan Lukic


Introduction: Secondary breast reconstruction is a multifactorial decision. It is based on the need for neoadjuvant/adjuvant treatment, lifestyle and expected cosmetic outcome of the patient. Aim of this study was to show early complications related with secondary breast reconstruction using latissimus dorsi miocutaneous flap and silicone breast implants.

Material and methods: This retrospective study was made with 24 patients who were treated at the Institute for Oncology Vojvodina in the period from 2007 to 2013. At all patients we underwent secondary breast reconstruction using pedicle latissimus dorsi myocutaneous flap (LDMF) and silicone breast implant.

Results: Almost at all patients we identified prolonged seroma formation like complication related to donor site (21/24 (87.5%)). Radiotherapy and chemiotherapy after first operation have statistical significance on complications after LDMF. Smoking and obesity have no influence on complications

Conclusion: Breast reconstruction using LDMF is related with small number of early postoperative complications and gives acceptable aesthetic results.


breast reconstruction, latisimus dorsi myocutaneous flap, breast cancer, breast surgery

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Yu SC, Kleiber GM, Song DH. An algorithmic approach to total breast reconstruction with free tissue transfer. Arch Plast Surg. 2013;40(3):173–80.

Maxwell GP. Iginio Tansini and the origin of the latissimus dorsi musculocutaneous flap. Plast Reconstr Surg. 1980;65:686–92.

Teymouri HR, Stergioula S, Eder M, Kovacs L, Biemer E, Papadopulos NA. Breast reconstruction with autologous tissue following mastectomy. Hippokratia. 2006; 10(4): 153–62.

Perdikis G, Koonce S, Collis G, Eck D. Latissimus dorsi myocutaneous flap for breast reconstruction: bad rap or good flap? Eplasty. 2011; 11:e39. Epub 2011 Oct 17.

Naraynsingh V, Hariharan S, Dan D. Immediate breast reconstruction following segmentectomy using a latissimus dorsi ‘myoadipose’ flap through a single axillary incision: a case series. Cases J. 2009; 2:8116.

Yang JD, Lee JW, Cho YK, Kim WW, Hwang SO, Jung JH, et al. Surgical techniques for personalized oncoplastic surgery in breast cancer patients with small- to moderate-sized breasts (Part 2): Volume Replacement. J Breast Cancer. 2012; 15(1): 7–14.

Rifaat MA, Amin AA, Bassiouny M, Nabawi A, Monib S. The extended latissimus dorsi flap option in autologous breast reconstruction: a report of 14 cases and review of the literature. Indian J Plast Surg. 2008; 41(1): 24–33.

Tomita K, Yano K, Nishibayashi A, Fukai M, Miyasaka M, Hosokawa K. The role of latissimus dorsi myocutaneous flaps in secondary breast reconstruction after breast-conserving surgery. Eplasty. 2013;13:e28.

Netter F. Atlas der anatomie des Menschen. Icon Learning System. 2000; 167-9; 395-400.

Tachi M, Yamada A. Choice of flaps for breast reconstruction. Int J Clin Oncol. 2005;10(5):289–97.

Aitken ME, Mustoe TA. Why change a good thing? Revisiting the fleur-de-lis reconstruction of the breast. Plast Reconstr Surg. 2002;109(2):525–33. discussion 534-8.

Llewellyn-Bennett R, Greenwood R, Benson JR, English R, Turner J, Rayter Z, et al. Randomized clinical trial on the effect of fibrin sealant on latissimus dorsi donor-site seroma formation after breast reconstruction. Br J Surg. 2012;99(10):1381-8.

Germann G, Steinau HU. Breast reconstruction with the extended latissimus dorsi flap. Plast Reconstr Surg. 1996;97(3): 519-26.

Hammond DC. Latissimus dorsi flap breast reconstruction. Plast Reconstr Surg.2009; 124 (4):1055-63.

Radovanovic Z, Radovanovic D, Golubovic A, Ivkovic-Kapic T, Bokorov B, Mandic A. Early complications after nipple-sparing mastectomy and immediate breast reconstruction with silicone prosthesis: results of 214 procedures. Scand J Surg. 2010;99(3): 115–8.

Chang DW, Wang B, Robb GL, Reece GP, Miller MJ, Evans GR et al. Effect of obesity on flap and donor-site complications in free transverse rectus abdominis myocutaneous flap breast reconstruction. Plast Reconstr Surg.2000;105(5):1640–8.

Chang DW, Reece GP, Wang B, Robb GL, Miller MJ, Evans GR et al. Effect of smoking on complications in patients undergoing free TRAM flap breast reconstruction. Plast Reconstr Surg. 2000;105(7):2374–80.

Temple CL, Strom EA, Youssef A, Langstein HN. Choice of recipient vessels in delayed TRAM flap breast reconstruction after radiotherapy. Plast Reconstr Surg. 2005;115(1):105–13.

Vairinho A, Al Hindi A, Revol M, Legras A, Rem K, Guenane Y, et all. Reconstruction of an anterior chest wall radionecrosis defect by a contralateral latissimus dorsi flap: A case report. Ann Chir Plast Esthet. 2018;63(2):182-6.

Mushin OP, Myers PL, Langstein HN. Indications and controversies for complete and implant-enhanced latissimus dorsi breast reconstructions. Clin Plast Surg. 2018;45(1):75-81.

DOI: http://dx.doi.org/10.24125/sanamed.v15i3.448


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