Comparative Study of Myocutaneous Latissimus Dorsi Flap Breast Reconstruction With Implant Versus…

Cohort studyWorld journal of surgery· Aug 2026

Comparative Study of Myocutaneous Latissimus Dorsi Flap Breast Reconstruction With Implant Versus Lipofilling: Complication Rates and Risk Factors.

Aline Prado de Almeida, Vilmar Marques de Oliveira, Regis Rezende Paulinelli … Tainara Rodrigues Miranda

Breast ReconstructionCohort studyTreatmentQ1IF 2.0

Implant-based latissimus dorsi flap reconstruction had higher early infection rates

Comparative Study of Myocutaneous Latissimus Dorsi Flap Breast Reconstruction With Implant Versus Lipofilling: Complication Rates and Risk Factors.

Aline Prado de Almeida … Tainara Rodrigues Miranda

World journal of surgery · Aug 2026 · Q1 in Surgery

Background

Breast cancer is the most prevalent malignancy among women globally, and mastectomy often forms a critical part of its treatment.

Purpose

This study compares the outcomes of two distinct Latissimus Dorsi (Latissimus Dorsi) flap reconstruction techniques: one utilizing implant augmentation (Latissimus Dorsi-I) and the other employing autologous fat graft (lipofilling) for volume restoration (Latissimus Dorsi-L).

Methods

A retrospective cohort study was conducted, analyzing 116 patients who underwent breast reconstruction with either the LD-I or LD-L technique between 2013 and May 2024.

n = 116 patients

Results

implant reconstructions got infected far more often early on

LD-I

18%

LD-L

7.6%

More results

The study population comprised 50 patients in the LD-I group and 66 patients in the LD-L group.

The mean age of patients was approximately 50 years in both groups.

There were no significant differences between the groups regarding oncologic characteristics, including tumor stage, histological subtype, and receipt of neoadjuvant or adjuvant therapies.

“

Conclusion · 1 of 2

Both LD-I and LD-L techniques provide viable options for breast reconstruction. However, the LD-L technique demonstrated a lower risk of infection and reconstruction loss in this cohort.

Conclusion · 2 of 2

These findings suggest that LD-L may offer a favorable alternative for minimizing specific complications and improving long-term outcomes in post-mastectomy breast reconstruction.

Comparative Study of Myocutaneous Latissimus Dorsi Flap Breast Reconstruction With Implant Versus Lipofilling: Complication Rates and Risk Factors.

Comparative Study of Myocutaneous Latissimus Dorsi Flap Breast Reconstruction With Implant Versus Lipofilling: Complication Rates and Risk Factors.

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