Abstract

HADDAD TAME, J.L.  and  JIMENEZ MUNOZ LEDO, G. Anatomical and surgical description of a new concept in breast reconstruction: muscle sparing dorsoepigastric flap of latissimus dorsi. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.1, pp.27-34. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922012000100003.

Breast importance is evident for women quality of life. The physical and psychological trauma of mastectomy can be treated by breast reconstruction, so it´s important to search for new reconstructive options decreasing complications and improving the cosmetic results. By an anatomical study in 3 fresh cadavers we observed the neurovascular anatomy of the latissimus dorsi and we founded a constant anatomy; then we realized the dorsoepigastric muscle sparing of latissimus dorsi flap taking a strip of 5 to 7cm from lateral edge of the muscle including the descending branch of the thoracodorsal artery in 9 patients meeting inclusion criteria, yielded a rate of 0.63 % overall complications, decreasing donor site morbidity and improved cosmetic outcome. It was concluded that this flap is an excellent reconstructive option for breast cancer patients, although this is a pilot study and we need to expand the sample of patients to provide external validity.

Keywords : Breast reconstruction; Latissimus dorsi flap; Dorsoepigastric flap; Thoracodorsal artery perforator flap.

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