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Breast Reconstruction Using the Extended Latissimus Dorsi Myocutaneous Flap—A Long-term Follow-up Utilizing BREAST-Q
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Plastic surgeon in private practice in Gothenburg, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.ORCID iD: 0000-0002-8027-9632
Department of Plastic Surgery, Örebro University, Örebro, Sweden.
2024 (English)In: Aesthetic Surgery Journal Open Forum, E-ISSN 2631-4797, Vol. 6, article id ojae002Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background The latissimus dorsi (LD) flap is a commonly used method for breast reconstruction after mastectomy. In this study, we present a long-term follow-up and effects of refining surgery on patient satisfaction and quality of life after breast reconstruction with the extended LD flap, using the BREAST-Q questionnaire.

Objectives The aim of this study was to investigate the patient-reported long-term results after breast reconstruction with the extended LD myocutaneous flap.

Methods A retrospective cohort study of adult patients (n = 101) who were operated on using the extended LD flap for breast reconstruction at the Linköping University Hospital during 1997 to 2012 was made using data retrieved from medical records. The patients were asked to complete the BREAST-Q questionnaire at 2 different postoperative time points.

Results Eighty-three patients replied to the first questionnaire, and 56 patients also replied to the second. Mean follow-up was 11.7 years. Higher age and living together with someone correlated to higher BREAST-Q results, while postoperative infection, bilateral LD flaps, smoking, and prior breast surgery had a negative impact on the results. Overall BREAST-Q results increased over time. No independent effect of refining surgery could be shown.

Conclusions Patient satisfaction after breast reconstruction with the LD flap as measured with the BREAST-Q questionnaire is high and in line with other studies. The overall satisfaction with the reconstruction method seems to increase with time, but no further increase in satisfaction after refining surgery could be established. Level of Evidence: 3 

Place, publisher, year, edition, pages
Oxford University Press, 2024. Vol. 6, article id ojae002
Keywords [en]
follow-up; mammaplasty; surgical procedures; operative; breast
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-200856DOI: 10.1093/asjof/ojae002ISI: 001157814200001OAI: oai:DiVA.org:liu-200856DiVA, id: diva2:1837004
Note

Funding: Department of Hand Surgery, Plastic Surgery and Burns, Linkoping University Hospital, Region Ostergotland, and the Linkoeping University, Linkoeping, Sweden

Available from: 2024-02-12 Created: 2024-02-12 Last updated: 2024-02-23

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Wyckman, AlexanderSteinvall, IngridZdolsek, Johann

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