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  • Title: [Breast reconstruction by latissimus dorsi myocutaneous flap and implant: The dorsal bra technique].
    Author: Bruant-Rodier C, Ruffenach L, Hendriks S, Bodin F, Dissaux C.
    Journal: Ann Chir Plast Esthet; 2018 Nov; 63(5-6):405-421. PubMed ID: 30177407.
    Abstract:
    Despite the development of microsurgical techniques, latissimus dorsi myocutaneous pedicle flap remains mainly used in breast reconstruction surgery. It is reliable and could be performed on almost all the patients, even if they smoke. It is also a good indication in case of irradiation. The technical alternative, which combines latissimus dorsi myocutaneous flap and an implant, allows the reconstruction of the expected volume and enables controlateral implant augmentation if the patient desires. The dorsal skin paddle increases the cutaneous pocket. The muscle in-depth enhances the irradiated skin and protects the implant. Positioning the skin paddle on the breast area is essential: it should be based on the mastectomy scar or on an added contraincision barring it. Thus it allows the muscle to embrace the implant as a bra. The precise reference points helping the placement of the flap could be reproduced and ensure pleasant and stable results over time.
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