Brunelli-Ducatti L, Freitas-Martins M, Silva-Duran V, Tannous-Elías E

Language: Spanish
References: 11
Page: 197-201
PDF size: 1030.96 Kb.

ABSTRACT

Breast reconstruction is crucial following mastectomies for advanced cancer, especially in extensive chest wall defects. Abdominal dermocutaneous and latissimus dorsi myocutaneous broad dorsal flaps help restore volume, protect vital structures and achieve satisfactory aesthetic results. This report describes a case that highlights their clinical relevance in large defects. A 61-year-old, hypertensive and epileptic woman, had a nodule in her right breast. Anatomopathological examination revealed invasive carcinoma NOS (No Otherwise Specified). The patient underwent mastectomy, right axillary lymphadenectomy and breast reconstruction with an abdominal dermocutaneous flap and a latissimus dorsi myocutaneous broad dorsal flap due to the extensive chest wall defect. She missed the first postoperative appointment, returning only on day 12 with signs of postoperative complications, which were managed immediately. The patient evolved without complaints or further complications. This case highlights the importance of selecting an appropriate surgical technique and postoperative care to optimize functional and aesthetic results and to reduce complications.

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