Boomerang latissimus dorsi flap in total breast reconstruction: report of three cases

Myeong Jae Kang, Tae Hyun Park, Jeong Yeop Ryu, Byeongju Kang, Jeeyeon Lee, Ho Yong Park, Jung Dug Yang, Joon Seok Lee

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The latissimus dorsi (LD) flap is one of the most useful techniques for autologous breast reconstruction, especially in Asians. However, for reconstruction of moderate to large volume breasts, it is difficult to achieve the desirable volume and projection with the classic extended LD flap. Although there is the option of concurrent application of an LD flap and a small silicone implant, this may lead to larger volume than desired; furthermore, an increasing number of patients prefer reconstruction with autologous tissue alone. In this case report, we present satisfactory outcomes for moderate to large breast reconstruction in three patients, using the boomerang LD flap technique, a modification of the conventional extended LD flap. The flap was harvested with a transverse incision along the brassiere line and a vertical incision under the arm adjusted for the breast width of the patient. Then, after tunneling to the breast, the autologous reconstructed breast was created with the boomerang LD flap before moving the flap. There were no severe intraoperative or postoperative complications. In one case, linear necrosis of the breast wound was observed and the patient underwent revision operation for treatment. Seromas were not observed in the donor site of the boomerang LD flap and healing was successful. However, the donor site incision was 1.5 to 1.6 times longer than that of the classic LD flap.

Original languageEnglish
Pages (from-to)290-299
Number of pages10
JournalGland Surgery
Volume11
Issue number1
DOIs
StatePublished - 2022

Keywords

  • Autologous breast reconstruction
  • Large breast reconstruction
  • Latissimus dorsi flap (ld flap)

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