Tertiary breast reconstruction using a free contralateral latissimus dorsi myocutaneous flap and contralateral internal mammary recipient vessel anastomosis

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Presentation transcript:

Tertiary breast reconstruction using a free contralateral latissimus dorsi myocutaneous flap and contralateral internal mammary recipient vessel anastomosis Toshihiko Satake, Mayu Muto, Yuji Yasuoka, Yoshihiko Tamanoi, Miki Hishikawa, Jun Sugawara, Kazunori Yasumura, Shinji Kobayashi, Jiro Maegawa JPRAS Open Volume 7, Pages 44-49 (March 2016) DOI: 10.1016/j.jpra.2015.11.001 Copyright © 2015 The Authors Terms and Conditions

Figure 1 a) Postoperative appearance of a failed deep inferior epigastric artery perforator flap breast reconstruction. Scar caused by the harvesting of the cephalic vein on the right upper arm. b) Postoperative appearance after the silicone gel implant removal. c) Postoperative scar caused by the harvesting of thoracodorsal vessels along the right anterior axillary line. JPRAS Open 2016 7, 44-49DOI: (10.1016/j.jpra.2015.11.001) Copyright © 2015 The Authors Terms and Conditions

Figure 2 a) Thoracodorsal vessels of a free left latissimus dorsi myocutaneous flap were anastomosed to the internal mammary vessels on the left side. b) Skin over the lower pole of the breast was mostly replaced with the skin paddle of the latissimus dorsi myocutaneous flap. JPRAS Open 2016 7, 44-49DOI: (10.1016/j.jpra.2015.11.001) Copyright © 2015 The Authors Terms and Conditions

Figure 3 a) Postoperative appearance after the tertiary autologous breast reconstruction using a free contralateral latissimus dorsi myocutaneous flap and a silicone gel implant. b) Postoperative appearance of the donor site scar caused by the harvesting of the contralateral latissimus dorsi myocutaneous flap. JPRAS Open 2016 7, 44-49DOI: (10.1016/j.jpra.2015.11.001) Copyright © 2015 The Authors Terms and Conditions

Figure 4 a) Postoperative 3D-CT showing the implant (150 mL, anatomical) covered by the latissimus dorsi muscle. b) Postoperative 3D-CT showing the thoracodorsal vessels of a free latissimus dorsi myocutaneous flap anastomosed to the internal mammary recipient vessels on the left side. Arrows indicate the vessels. JPRAS Open 2016 7, 44-49DOI: (10.1016/j.jpra.2015.11.001) Copyright © 2015 The Authors Terms and Conditions