Complications Following Autologous Latissimus Flap Breast Reconstruction

  • Mufid Burgić Clinic for Plastic-Maxillofacial surgery, University Clinical Center Tuzla
  • Cathrine Bruant-Rodier Maxillofacial-plastic and reconstructive surgery clinic, Hôpital Civil 1
  • Astrid Wilk Maxillofacial-plastic and reconstructive surgery clinic, Hôpital Civil 1
  • Frédéric Bodin Maxillofacial-plastic and reconstructive surgery clinic, Hôpital Civil 1
  • Adi Rifatbegović Clinic for Plastic-Maxillofacial surgery, University Clinical Center Tuzla
  • Emir Halilbašić Clinic for Plastic-Maxillofacial surgery, University Clinical Center Tuzla
  • Musfaha Burgić Clinic for Plastic-Maxillofacial surgery, University Clinical Center Tuzla
  • Eldar Brkić Clinic for Plastic-Maxillofacial surgery, University Clinical Center Tuzla
  • Harun Avdagić Clinic for Cardiovascular Diseases, University Clinical Center Tuzla
Keywords: autologous latissimus flap, breast reconstruction, complications, seroma

Abstract

Use of an autologous latissimus flap in breast reconstruction accounts for a supple and natural look of reconstructed breast. Most common postoperative complication, seroma, became more of a rule then an exception when it comes to postoperative evaluation of the patients who underwent this reconstructive procedure. A retrospective study analysing and evaluating different complication rates in 20 patients who underwent breast reconstruction by autologous latissimus flap, was conducted. All patients included in the study were operated at the Department of plastic surgery of Hôpital Civil in Strasbourg, France, between 1996 and 2008. The complication rates were noted as follows: seroma in 19 of our 20 patients (95%), late hypertrophic scarring in 3 patients (15%), postoperative surgical site hematoma in 3 patients (15%), and 2 patients (10%) presented postoperative chronic back pain. Different options used in seroma treatment and prevention (subcutaneous-fascia anchor sutures of donor site, application of corticosteroids by injection into donor site postoperatively, passive drainage) can reduce seroma formation and thus overall complication rates, leading to much faster patient’s recovery time and return to normal daily activities.

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Published
2010-02-20
How to Cite
1.
Burgić M, Bruant-Rodier C, Wilk A, Bodin F, Rifatbegović A, Halilbašić E, Burgić M, Brkić E, Avdagić H. Complications Following Autologous Latissimus Flap Breast Reconstruction. Bosn J of Basic Med Sci [Internet]. 2010Feb.20 [cited 2019Dec.13];10(1):65-7. Available from: http://www.bjbms.org/ojs/index.php/bjbms/article/view/2739
Section
Translational and Clinical Research