Repeat use of same donor site after muscle-sparing LD flap reported

This case series reports on seven patients who underwent an initial muscle-sparing latissimus dorsi (MSLD) flap surgery and later required a return to the same donor site to harvest residual soft tissue for salvage of failed, radiated implant-based reconstructions. The author states these findings challenge the prior assumption that the latissimus dorsi flap can only be used once, suggesting the muscle-sparing technique may preserve residual skin and muscle for a future salvage attempt.

Most relevant for: Patients undergoing implant-based breast reconstruction with radiation exposure who are at high risk of reconstructive failure and may need salvage surgery.

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