Total autologous breast reconstruction with the Kiss Latissimus Dorsi Flap.

J Plast Reconstr Aesthet Surg

Department of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, School of Medicine, Rome (Italy).

Published: October 2022

Introduction: Patients presenting breast actinic damage or implant-related complications require an autologous approach to breast reconstruction. However, when they are not good candidates for microsurgical procedures, alternative solutions must be sought. Latissimus dorsi (LD) is a workhorse flap in breast reconstruction, but often the amount of skin and volume achievable are insufficient. Taking inspiration from the Kiss flap concept, the authors hereby describe the "Kiss" LD flap to achieve totally autologous breast reconstruction.

Patients And Methods: A prospective service evaluation of all patients who underwent breast reconstruction with Kiss LD flap between 2018 and 2020 was performed. Patient demographics and operative variables were recorded, together with early and late complications. Patient satisfaction and quality of life were registered using the latest BREAST-Q reconstruction module, which includes specific LD scales. The questionnaire was administered to patients preoperatively and six months postoperatively.

Results: Thirty patients underwent total autologous breast reconstruction with Kiss LD flap. Breast cancer and breast sarcoma resection were followed by reconstruction. The timing of reconstruction was immediate in 3 cases and delayed in 27 cases. No major complications nor total flap loss were registered. BREAST-Q scores postoperatively were significantly higher than the preoperative ones in every domain (p<0.0001) except for the physical well-being of back and shoulder, where the scores differed slightly and non-significantly (p=0.05).

Conclusions: The Kiss LD flap allows to harvest a large amount of skin to restore the breast envelope and a considerable volume to reconstruct the breast mound in a completely autologous procedure.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjps.2022.06.078DOI Listing

Publication Analysis

Top Keywords

breast reconstruction
20
autologous breast
12
reconstruction kiss
12
kiss flap
12
breast
9
total autologous
8
reconstruction
8
latissimus dorsi
8
flap breast
8
patients underwent
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!