<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922024000300006</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922023000300006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colgajo musculocutáneo de dorsal ancho en diseño V-Y en reconstrucción de cáncer de mama localmente avanzado y sarcoma]]></article-title>
<article-title xml:lang="en"><![CDATA[V-Y latissimus dorsi myocutaneous flap for locally advanced breast cancer and sarcoma reconstruction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanz-Medrano]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iniesta-Lima]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Asensio-Ramos]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Toro-González]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nieto-Ramos]]></surname>
<given-names><![CDATA[Henar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Buendía-Pérez]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínzguez-Zambrano]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="Ab"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanz-Medrano]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Clínico San Carlos Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Clínico San Carlos Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de México Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[México D.F ]]></addr-line>
<country>México</country>
</aff>
<aff id="A3b">
<institution><![CDATA[,Federación Iberolatinoamericana de Cirugía Plástica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>50</volume>
<numero>3</numero>
<fpage>271</fpage>
<lpage>280</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922024000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922024000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922024000300006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. La reconstrucción de sarcomas de mama o de cáncer de mama localmente avanzado requiere una técnica estable y segura. El colgajo musculocutáneo de dorsal ancho con diseño en V-Y permite la reconstrucción inmediata de defectos de gran tamaño con mínima morbimortalidad, y no cierra la posibilidad de reconstrucción microquirúrgica o con enfoque estético en un segundo tiempo. Presentamos nuestra experiencia mediante una serie de casos.  Material y método. Serie de 14 mujeres reconstruidas con colgajo musculocutáneo de dorsal ancho con diseño V-Y. El cáncer más frecuentemente tratado fue el angiosarcoma de mama (5 casos). Describimos las particularidades de la técnica quirúrgica empleada. Los defectos tratados presentaron una media de 17.8 x 17.2 cm, con exposición de pulmón y pericardio, en algunos casos.  Resultados. La supervivencia de los colgajos fue del 100%. No se presentaron complicaciones relevantes y los defectos fueron reconstruidos de forma estable y duradera. La media hospitalaria fue de 3 días. No hubo recurrencia local con una media de seguimiento de 36 meses y las pacientes mostraron alta tasa de satisfacción.  Conclusiones. En la serie presentada, el uso de este colgajo proporcionó una solución definitiva e inmediata al problema reconstructivo, dejando la puerta abierta para una posible reconstrucción estética. Según nuestra experiencia, el riesgo / beneficio del colgajo presentado lo posiciona como una opción a considerar en estos casos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Reconstrucción postoncológica]]></kwd>
<kwd lng="es"><![CDATA[Dorsal ancho]]></kwd>
<kwd lng="es"><![CDATA[Colgajo dorsal ancho]]></kwd>
<kwd lng="es"><![CDATA[Sarcoma]]></kwd>
<kwd lng="es"><![CDATA[Cáncer de mama]]></kwd>
<kwd lng="es"><![CDATA[Cirugía reconstructiva]]></kwd>
<kwd lng="en"><![CDATA[Post-oncological reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Latissimus dorsi]]></kwd>
<kwd lng="en"><![CDATA[Latissimus dorsi flap]]></kwd>
<kwd lng="en"><![CDATA[Sarcoma]]></kwd>
<kwd lng="en"><![CDATA[Breast cancer]]></kwd>
<kwd lng="en"><![CDATA[Reconstructive surgery]]></kwd>
</kwd-group>
</article-meta>
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