Bilateral latissimus dorsi for breast reconstruction in one stage

L. Dražan1,2, M. Knoz1,2, L. Streit1,2, A. Cheimaris1,2

1 Department of Plastic and Aesthetic Surgery, St. Anne’s University Hospital Brno, Czech Republic 2 Faculty of Medicine, Masaryk University Brno, Czech Republic


The authors present a technique of bilateral breast reconstruction in case series of 5 patients, allowing simultaneous harvest of both latissimus dorsi myocutaneous flaps. Three patients underwent bilateral immediate reconstruction after prophylactic mastectomy. One patient underwent a delayed reconstruction, in 1 patient latissimus dorsi myocutaneous flap was used after prophylactic mastectomy and reconstruction with implants followed by bilateral necrosis of the skin flaps. The described technique enables safe breast reconstruction in one procedure. The average reconstruction time was about 4 hours, which represents bilateral latissimus dorsi procedure to the centre of the breast reconstructions range, between the reconstructions with double free tissue transfer and the breast implants.

Key words

latissimus dorsi myocutaneous flap – bilateral breast reconstruction – prophylactic mastectomy

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