Background: Volume replacement oncoplastic breast techniques have become one
of the standard lines in the treatment of early breast cancer. They have better
cosmetic outcome and patient satisfaction. Latissimus dorsi (LD) flap is one of
the most commonly used flaps for these techniques. Although it shows satisfactory
surgical outcomes, postoperative shoulder dysfunction is an obvious drawback.
The aim of this study was to compare LD flap with thoracodorsal artery perforator
(TDAP) flap after breast-conserving surgery regarding surgical outcomes, patient
satisfaction, and impact on shoulder function.
Methods: The study included 42 adult female patients with early breast cancer
who were eligible for conservative breast surgery and immediate breast reconstruction.
Patients were divided into 2 equal groups: group A where patients underwent
immediate reconstruction using LD flap and group B where patients underwent
reconstruction using TDAP flap. Follow-up was designed for 12 months for early
outcome, patient satisfaction, and shoulder functions |
