Upper Limb Reconstruction with Latissimus Dorsi Flap

Abstract

The latissimus dorsi flap (LDF) is a surgical technique used by surgeons to rebuild many different types of breast cancer surgical defects, such as modified radical mastectomy, quadrantectomy, and lumpectomy. The LDF can be utilized as an autogenous flap alone, in conjunction with implant-based immediate reconstruction, in conjunction with tissue expanders for a phased reconstruction, or in either case, either immediately or later. During breast reconstruction, the LDF is a dependable soft tissue covering option that offers shape and function with manageable short- and long-term morbidities. When tissue is scarce, the LDF can help by providing tissue volume in autologous reconstruction. It can also serve as a dependable vascular pedicle for implant-based repair in situations when the tissue has been exposed to radiation.