How long does a latissimus dorsi surgery take?
Patients are generally counseled that the surgery will take 3 to 4 hours for a typical latissimus breast reconstruction. Postoperatively, they have 2 donor site drains and 1 to 2 breast drains.
Why is the latissimus muscle used in reconstructive surgery?
Reconstruction with the latissimus dorsi myocutaneous flap produces a breast with ptosis and projection while maintaining the natural consistency and feel of normal tissue. This flap provides ample bulk for reconstruction due to the large surface of the muscle.
How do you sleep after latissimus dorsi flap reconstruction?
➢ Restrictions are as follows: ➢ You may walk as tolerated beginning the day of your surgery. ➢ Do not lay flat in bed. Sleep with your head elevated on at least 2 pillows until otherwise directed. Do not lay upon or put any pressure upon the side(s) of your chest where the flap reconstruction was performed.
What is latissimus dorsi flap surgery?
The latissimus dorsi flap breast reconstruction is a procedure that uses skin, fat, and muscle from the upper back (the flap) to rebuild the breast. It is one of several surgical options for breast reconstruction after cancer. 1. This surgery typically is done after a mastectomy (surgical breast removal).
What is the insertion of the latissimus dorsi?
Latissimus dorsi muscle
| Latissimus dorsi | |
|---|---|
| Origin | Spinous processes of vertebrae T7-L5, thoracolumbar fascia, iliac crest, inferior 3 or 4 ribs and inferior angle of scapula |
| Insertion | Floor of intertubercular groove of the humerus |
| Artery | Thoracodorsal branch of the subscapular artery |
| Nerve | Thoracodorsal nerve (C6, C7, C8) |
What does the latissimus dorsi look like?
The latissimus dorsi muscle is a large, triangularly shaped back muscle that helps you do things like pull-ups, swimming and even breathing. It functions to stabilize your back while extending your shoulders. The latissimus dorsi muscle is often called the “lats” or the latissimus for short.
How long does lat flap surgery take?
In most cases, the surgeon will also place an implant in the breast to achieve the desired shape, size, and projection. The entire surgical procedure lasts between 3 and 4 hours.
How long does it take for mastectomy incision to heal?
Most people find their wounds take around 2 to 3 weeks to heal, but it may be several months before your chest and arm area fully recover. The area will be bruised, swollen and stiff at first.
When can I sleep on my side after mastectomy with reconstruction?
You can begin to sleep on your side again two weeks after breast reconstruction surgery. However, stomach sleeping is still not permitted at the two-week mark. You must wait four weeks before you can sleep on your stomach. At this time, you are fine to sleep in any normal positions that you find comfortable.
How big is the latissimus dorsi?
about 20 by 40 cm
The latissimus dorsi is a flat, broad muscle measuring about 20 by 40 cm. It extends from the posterior axilla to the midline of the back and inferiorly to the posterior portion of the iliac crest.
What is a latissimus dorsi reconstruction?
During latissimus dorsi flap reconstruction surgery, an incision is made in your back near your shoulder blade. Then, an oval section of skin, fat, blood vessels, and muscle is slid through a tunnel under the skin under your arm to your chest and formed into a breast shape.