Latissimus dorsi(LD) flap reconstruction | Dr. Deepak Jha
LD muscle is a large fan like muscle starting behind the armpit and spreading on the back. This flap uses the muscle along with an oval/ elliptical island of skin and underlying fat, which is then rotated via the armpit into the breast defect to rebuild the breast. The blood vessels are moved along with the muscle, so the flap retains its original blood supply. It leaves a scar on the back, which can be horizontal (hidden very well under clothes) or slanting (slightly more visible)
The surgery is performed under complete anesthesia (GA), and an elliptical incision is made on the same side back, just below the shoulder blade bone. The skin, underlying ellipse of fat and the complete muscle is separated from surrounding structure while keeping the artery and vein safe. The muscle thins out near armpit where a tunnel is created to rotate the flap into breast. The flap is then moulded into the shape of the breast and placed. The procedure takes 3-4 hours. The expected stay in hospital is 3-4 days after surgery. Usually ICU stay is not needed.
The expected stay in hospital is 3-4 days after surgery. Usually ICU stay is not needed. Food will be allowed on same or next day. Patient is made to ambulate and physiotherapy is started by next day of surgery.
Get all the information, latest updates, and articles delivered directly in your inbox
© 2020 Dr. Deepak Jha | Developed By River Route Creative Group
