Breast Reconstruction with Latissimus Dorsi Flap

Abstract

The latissimus dorsi flap (LDF) is a surgical procedure employed by surgeons to reconstruct several types of breast cancer surgical defects, including modified radical mastectomy, quadrantectomy, and lumpectomy. The LDF can be used as a standalone autogenous flap, in combination with immediate implant-based reconstruction, in combination with tissue expanders for a phased reconstruction, or in either scenario, either immediately or at a later time. The LDF (Latissimus Dorsi Flap) is a reliable choice for soft tissue coverage during breast reconstruction, providing both form and function while minimizing potential complications in the short and long term. In cases of limited tissue availability, the LDF can assist by supplying additional tissue volume for autologous reconstruction. Additionally, it can function as a reliable vascular pedicle for implant-based healing in cases when the tissue has been exposed to radiation.