SciELO - Scientific Electronic Library Online

 
vol.43 issue3Our technique of pectoralis major myocutaneous flap for reconstruction of cervical defectsUsefulness of transoperative electrophysiological monitoring in the treatment of brachial plexus injuries author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Cirugía Plástica Ibero-Latinoamericana

On-line version ISSN 1989-2055Print version ISSN 0376-7892

Abstract

MARCOS-QUISPE, Jorge-Luis; MARCOS QUISPE DR., J.L.  and  FONTDEVILA DR., Joan. Autologous breast reconstruction with latissimus dosiflap and microfat grafting. Cir. plást. iberolatinoam. [online]. 2017, vol.43, n.3, pp.293-303. ISSN 1989-2055.  http://dx.doi.org/10.4321/s0376-78922017000400011.

Background and Objective

There are several surgical techniques based on the use of flaps and/or implants for breast reconstruction, which are used according to the particularity of each case. In our practice, we prefer those that use only autologous tissues because they offer, in our opinion, greater advantages

We present an alternative for total breast reconstruction with autologous tissue that fuses the latissimus dorsi myocutaneous flap technique with microfat grafting as autologous filler, thus avoiding the use of prostheses.

Methods

We included all patients with total mastectomy that accepted and culminated her breast delayed reconstruction with latissimus dorsi myocutaneous flap and microfat grafting in the period from January 2011 to November 2015 at the Plastic Surgery and Burn Department of Guillermo Almenara Hospital (Lima, Peru).

Results

The reconstruction was performed in 24 patients; the total volume was 380 to 780 cc (mean 525 cc) in 1 to 4 sessions. We started with the flap and the first session of microfat grafting intraoperative applying between 260-400 cc (mean 332 cc) of fatty tissue in all exposed tissues; 80% of the initial volume was injected into the myocutaneous flap, with a high degree of graftment. In 45.8% of cases was necessary the des-epithelialization of the skin island and in37.5% was performed transposition flaps in the lateral area of the breast. All results were satisfactory and the complications were minor.

Conclusions

We considerer this technique as a good, secure and versatile alternative for total breast reconstruction using autologous tissues, with short and long term benefits.

Keywords : Breast reconstruction; Latissimus dorsi flap; Autologous reconstruction; Lipofilling; Microfat grafting.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )