Background and objective.

The reconstruction of breast sarcomas or locally advanced breast cancer requires a stable and safe surgical technique. The V-Y latissimus dorsi myocutaneous flap allows immediate reconstruction of large defects with minimal morbidity and mortality, while also allowing for potential subsequent aesthetic or microsurgical reconstruction.

We present our experience through a series of cases.

Methods.

A series of 14 reconstructed women is presented. The most frequently treated cancer was breast angiosarcoma (5 cases). Technical particularities of the surgical technique employed are des-cribed. Defects of 17.8 x 17.2 cm were reconstructed, with some exposing the lung and pericardium.

Resuts.

The flap survival rate was 100%. No major complications were encountered; the defects were reconstructed in a stable and durable manner. The average hospital stay was 3 days. There was no local recurrence with an average follow-up period of 36 months, and the patients exhibited high satisfaction rates.

Conclusions.

In our series, the use of this flap provides a definitive and immediate solution to the problem but leaves the door open for subsequent aesthetic reconstruction. According to our experience, the risk / benefit profile of the flap presented in this study makes it an option that should be considered.

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