Summary
The latissimus dorsi musculocutaneous flap provides generous amounts of skin and muscle for reconstruction of a breast after mastectomy. Correct analysis of the lack of tissue is necessary to enable a good reconstruction with regard to position and shape. Insufficient skin with undue soft tissue tension over a prosthesis is one cause for a less-than-optimal result. A latissimus dorsi musculocutaneous flap with a trilobed skin island gives the reconstructed breast a natural appearance without undue tension.
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References
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Svedman, P. Latissimus dorsi musculocutaneous flap with trilobed skin island for breast reconstruction. Chir Plastica 6, 75–80 (1981). https://doi.org/10.1007/BF00289631
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DOI: https://doi.org/10.1007/BF00289631