scholarly journals Incidence of shoulder functional morbidity following ipsilateral mastectomy and latissimus dorsi flap reconstruction

2019 ◽  
Vol 53 (6) ◽  
pp. 448-451 ◽  
Author(s):  
Muhammad Umar ◽  
Noman Jahangir ◽  
Michael Hughes ◽  
Qasim Malik ◽  
Jalal Kokan ◽  
...  
2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Gilles Houvenaeghel ◽  
Marie Bannier ◽  
Sandrine Rua ◽  
Julien Barrou ◽  
Mellie Heinemann ◽  
...  

Abstract Background Robotic latissimus dorsi-flap reconstruction (RLDFR) after skin-sparing mastectomy (SSM) for breast cancer (BC) has been performed through a single nipple incision. We report results of SSM with RLDFR, mainly with analysis of feasibility, morbidity, indications, and technique standardization. Methods We determined characteristics of patients, previous treatment of BC, and type of reconstruction. Surgical technique, duration of surgery, and complication rate were reported according to three successive periods: P1–3. Results Forty RLDFR, with breast implant for 16 patients, with previous breast radiotherapy in 30% had been performed. In logistic regression, factors significantly associated with duration of surgery ≥ 300 min were P2 (OR 0.024, p = 0.004) and P3 (OR 0.012, p = 0.004) versus P1. The median mastectomy weight was 330 g and 460 g for BMI < and ≥ 23.5 (p = 0.025). Length of hospitalization was 4 days. Total complication rate was 20% (8/40): seven breast complications (four re-operations) and one RLDF complication with re-operation. Periods were significantly predictive of complications (p = 0.045). Conclusion SSM with RLDFR is feasible, safe, and reproducible. We reported a decrease of duration of surgery, length of post-operative hospitalization, and complication rate.


2018 ◽  
Vol 24 (5) ◽  
pp. 843-845 ◽  
Author(s):  
Srinivas Kodaganur ◽  
Ulhas Paga ◽  
Amritanshu Ram ◽  
Anand Krishna ◽  
Amarendra Shankarappa ◽  
...  

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