Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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The Effects of Breast Reconstruction Using Latissimus Dorsi Myocutaneous Pedicled Flap for Lymphedema

광배근근피판을 이용한 유방재건술이 림프부종에 미치는 영향

  • Park, Jung Min (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Heo, Jung (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Ha, Jae Sung (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Keun Cheol (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kim, Seok Kwun (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Jo, Se Heon (Department of Surgery, College of Medicine, Dong-A University) ;
  • Lee, Kyung Woo (Department of Rehabilitative Medicine Breast Center, College of Medicine, Dong-A University)
  • 박정민 (동아대학교 의과대학 성형외과학교실(유방센터)) ;
  • 허정 (동아대학교 의과대학 성형외과학교실(유방센터)) ;
  • 하재성 (동아대학교 의과대학 성형외과학교실(유방센터)) ;
  • 이근철 (동아대학교 의과대학 성형외과학교실(유방센터)) ;
  • 김석권 (동아대학교 의과대학 성형외과학교실(유방센터)) ;
  • 조세헌 (동아대학교 의과대학 외과학교실(유방센터)) ;
  • 이경우 (동아대학교 의과대학 재활의학과학교실(유방센터))
  • Received : 2005.10.17
  • Published : 2006.05.10
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Abstract

Lymphedema is one of the most common complications of mastectomy. It decreases quality of life and causes functional or aesthetical problems in post-mastectomy patients. Axillary lymph needs dissection (ALND), and radiation therapy(RTx) is known as the representative factor of lymphedema. Authors discovered that breast reconstructions using latissimus dorsi(LD) myocutaneous flap decrease the incidence of lymphedema in spite of these risk factors. Therefore we compared the incidence of lymphedema between the patients who underwent breast reconstructoins by LD pedicled flap, and the patients who did not undergo breast reconstructions from January 2002 to December 2004. Lymphedema was diagnosed when difference of arm circumference was over 2cm or limitation of joint movement was greater than 20 degrees. Overall incidence of lymphedema was 14.0%, and it was 18.9% in case of ALND, and 21.1% in case of RTx, respectively. But the incidence of breast-reconstructed patients using LD pedicled flap was 3.3%. This result reveals that LD pedicled flap decreases incidence of lymphedema significantly. In the future, it is recommended to identify the causes of decrease in the incidence of lymphedema in case of breast reconstructed by LD myocutaneous pedicled flap, for example lymphoscintigraphy and so on.

Keywords

References

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