G. S. Mannu MBBS, BSc, MRCSEd; N. Farooq MRCS; S. Down MRCS; A. Burger FRCS; M. I. Hussien MS, MD, FRCS.
PLASTIC SURGERY & TRAUMA
Avoiding back wound dehiscence in extended latissimus dorsi flap reconstruction
Article first published online: 22 OCT 2012
© 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons
ANZ Journal of Surgery
Volume 83, Issue 5, pages 359–364, May 2013
How to Cite
Mannu, G. S., Farooq, N., Down, S., Burger, A. and Hussien, M. I. (2013), Avoiding back wound dehiscence in extended latissimus dorsi flap reconstruction. ANZ Journal of Surgery, 83: 359–364. doi: 10.1111/j.1445-2197.2012.06292.x
- Issue published online: 24 APR 2013
- Article first published online: 22 OCT 2012
- Manuscript Accepted: 11 SEP 2012
- breast reconstruction;
- extended latissimus dorsi flap;
- surgical technique;
- wound dehiscence
The latissimus dorsi breast reconstruction flap has a number of advantages, but despite the advances in surgical techniques, it has remained vulnerable to skin dehiscence or necrosis at the donor site. We describe a novel surgical technique to prevent this.
Patients treated with extended latissimus dorsi flap reconstruction between January 2005 and January 2010 were studied prospectively.
Eighteen patients were reviewed (12 immediate and 6 delayed). Two patients were smokers. The mean age was 54.4 (range: 42–64) years and the mean body mass index was 31.6 (range: 22.3–38). The mean weight of the mastectomy specimen was 551 g (range: 280–980 g). Six patients developed back seroma which required aspiration, and one patient developed a haematoma of the reconstructed breast. All wounds healed primarily.
The new technique is safe, simple and effective in avoiding wound dehiscence at the donor site after extended latissimus dorsi flap reconstruction.