Loreti Andrea, Bruno Edoardo, Abate Ornella, Arelli Floriana, Spallone Diana, La Pinta Massimo, Matropietro Tiziana, Ponti Elisabetta, Broglia Laura, Costarelli Leopoldo, Scavina Paola, Ribuffo Diego, Fortunato Lucio
Plastic and Reconstructive Surgery Division, Azienda Ospedaliera San Giovanni-Addolorata, Via Dell'Amba Aradam 8, Rome, Italy.
Department of Surgery "P.Valdoni," Unit of Plastic and Reconstructive Surgery, Policlinico Umberto I, Sapienza University of Rome, via dei Latini 33, 00185 Rome, Italy.
JPRAS Open. 2024 Mar 21;40:194-205. doi: 10.1016/j.jpra.2024.03.004. eCollection 2024 Jun.
Scarless latissimus dorsi (LD) flap is a breast reconstruction technique, which allow to cover the lower pole of implant with a large portion of the LD muscle without skin paddle; it represents a surgical solution that transpose vascularized tissue avoiding the failure of breast reconstruction, following necrosis of mastectomy skin flaps.
A retrospective review of patients undergoing immediate or delayed breast reconstruction using scarless LD flap reconstructions was performed. Clinical data obtained from follow-up visits were recorded. To evaluate breast shape contentment and patient satisfaction, the patients were requested to answer the Breast-Q, version 2.0 reduction module postoperative scales questionnaire at the 12-month follow-up.
We performed 19 scarless LD flap reconstructions between September 2019 and June 2022. The surgical time in average (considering minutes ± SD) was 130 (±15) minutes. The aesthetic assessment was good/excellent in 83% of patients. This was statistically significant (P=0.0).
The scarless LD flap reconstruction is a valid and reliable solution, which has the advantage to reduce the risk of exposed prosthesis if native skin necrosis occurs.
无瘢痕背阔肌（LD）皮瓣是一种乳房重建技术，该技术可在不带皮瓣的情况下用大部分背阔肌覆盖植入物的下极；它是一种手术解决方案，可在乳房切除皮瓣坏死之后，通过转移带血管组织来避免乳房重建失败。
对采用无瘢痕LD皮瓣重建进行即刻或延迟乳房重建的患者进行回顾性研究。记录随访时获得的临床数据。为评估乳房形状满意度和患者满意度，要求患者在12个月随访时回答《乳房-Q》2.0版缩乳模块术后量表问卷。
2019年9月至2022年6月期间，我们进行了19例无瘢痕LD皮瓣重建手术。平均手术时间（以分钟计，±标准差）为130（±15）分钟。83%的患者美学评估为良好/优秀。这具有统计学意义（P = 0.0）。
无瘢痕LD皮瓣重建是一种有效且可靠的解决方案，其优势在于如果出现自体皮肤坏死，可降低假体暴露的风险。
