The concept of using a thoracodorsal flap in breast reconstruction. Own experience

Abstract

Introduction. At the same time as the methods of surgical removal of the breast developed, the methods of its restoration were improved. It should be borne in mind that the purpose of breast reconstruction is to recreate a natural, plastic shape and maximum symmetry, therefore, the surgical procedure is selected individually, taking into account the patient's anamnesis and anatomical features.

Materials and methods of research. The tasks described above allow us to solve various variants of autologous reconstruction, one of which is the thoracodorsal flap (TDL flap) – a skin-muscle flap based on the widest back muscle. The article presents a clinical case and describes in detail the course of surgery with all the modifications used.

The results of the treatment. This flap can be used both after mastectomy and in the process of performing organ-preserving surgical treatment in order to replenish the removed area of the breast. The TDL flap is used more for aesthetic reasons than for medical reasons. In its application, it is universal. It is most often used for small and medium-sized mammary glands, but a thoracodorsal flap in combination with an implant is also possible to achieve a larger volume of the reconstructed breast.

Conclusion. The versatility and a number of advantages of using a TDL flap allow us to highly evaluate the importance of this technique in reconstructive surgery and continue to hone our skills, modifying the classical technique of performing taking into account the anatomical characteristics of each patient.