Latissimus dorsi mini-flap: a technique for extending breast conservation

J M Dixon, B Venizelos, P Chan

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

The latissimus dorsi (LD) flap was first used in patients for breast reconstruction in 1896. More recently it has been used to fill defects after quadrantectomy or very wide excision. We have developed a two stage procedure for excision of large breast cancers which would otherwise require mastectomy. The first stage is a wide excision of the cancer without removal of the overlying skin. Thirty patients with large localized operable breast cancer underwent wide local excision followed 5 to 10 days later in 25 patients who had clear histological margins by an axillary dissection with transfer of the LD muscle and overlying fat into the defect in the breast (mini-flap). The cosmetic outcome of these 25 patients who underwent mini-flap were compared with age matched patients having a standard wide local excision and axillary node clearance or mastectomy and immediate breast reconstruction. The volume of tissue excised in patients having their defects filled by LD mini-flap was significantly greater than those women undergoing standard wide excision, p
Original languageEnglish
Pages (from-to)58-65
Number of pages8
JournalThe Breast
Volume11
Issue number1
DOIs
Publication statusPublished - Feb 2002

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