Comparison of morbidity-related seroma formation following conventional latissimus dorsi flap versus muscle-sparing latissimus dorsi flap breast reconstruction

Yoshihiro Sowa; Toshiaki Numajiri; Katsuhiko Nakatsukasa; Koichi Sakaguchi; Tetsuya Taguchi

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자료유형: 학술저널

저자정보: Yoshihiro Sowa (Kyoto Prefectural University of Medicine) Toshiaki Numajiri (Kyoto Prefectural University of Medicine) Katsuhiko Nakatsukasa (Kyoto Prefectural University of Medicine) Koichi Sakaguchi (Kyoto Prefectural University of Medicine) Tetsuya Taguchi (Kyoto Prefectural University of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.93 No.3

발행연도: 2017.9

수록면: 119 - 124 (6page)

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Purpose: The pedicled, descending-branch muscle-sparing latissimus dorsi (MSLD) flap has been widely used for breast reconstruction following total mastectomy. However, the superiority of the MSLD flap compared to the conventional latissimus dorsi (CLD) flap in preventing seroma formation has not been demonstrated. This study compares the morbidities related to seroma formation following pedicled MSLD flap and CLD flap breast reconstruction.
Methods: A total of 15 women who underwent partial mastectomy and immediate partial breast reconstruction with MSLD flaps were compared with 15 women under identical conditions with CLD flap breast reconstruction. The medical records were reviewed for both complications and demographic data. The authors compared morbidity, including donor-site seroma, total volume of drain discharge, indwelling period of drainage, and length of hospital stay following both MSLD flap and CLD flap breast reconstruction.
Results: The demographic data of the 2 groups were not significantly different. Donor-site seroma occurred in 2 MSLD patients (13.3%) and in 6 CLD patients (40.0%). The total volume of the drain discharge and the indwelling period of drainage at donor site were significantly lower in the MSLD group. The length of hospital stay was significantly shorter (by approximately a day and a half) for the MSLD group.
Conclusion: The MSLD flap, with its low complication rate and associated minimal functional and aesthetic deficits at the donor site, may be a useful option for small breast reconstruction if earlier discharge from hospital is demanded.

#Superficial back muscles #Mammaplasty #Seroma

참고문헌 (17)

참고문헌 신청

[학술지(정기간행물)] - Clough KB / 2002 / Donor site sequelae after autologous breast reconstruction with an extended latissimus dorsi flap / Plast Reconstr Surg 109 : 1904 ~ 1911

[학술지(정기간행물)] - Roy MK / 1998 / Complications of latissimus dorsi myocutaneous flap breast reconstruction / Eur J Surg Oncol 24 : 162 ~ 165

[학술지(정기간행물)] - Schwabegger A / 1997 / Seroma as a common donor site morbidity after harvesting the latissimus dorsi flap : observations on cause and prevention / Ann Plast Surg 38 : 594 ~ 597

[학술지(정기간행물)] - Saint-Cyr M / 2009 / The pedicled descending branch muscle-sparing latissimus dorsi flap for breast reconstruction / Plast Reconstr Surg 123 : 13 ~ 24

[학술지(정기간행물)] - Brackley PT / 2010 / Modified muscle sparing latissimus dorsi with implant for total breast reconstruction - extending the boundaries / J Plast Reconstr Aesthet Surg 63 : 1495 ~ 1502

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