What is a latissimus dorsi flap?
In a latissimus dorsi flap procedure, an oval flap of skin, fat, muscle, and blood vessels from your upper back is used to reconstruct the breast. This flap is moved under your skin around to your chest to rebuild your breast.
How long is latissimus dorsi flap surgery?
A latissimus dorsi flap procedure lasts about 3 or 4 hours. After latissimus dorsi flap reconstruction surgery: You’ll be moved to the recovery room after surgery, where hospital staff members will monitor your heart rate, body temperature, and blood pressure.
Why is a latissimus dorsi used in breast reconstruction?
The latissimus dorsi helped to restore form and function by providing muscle coverage over the implant, replacing the breast skin and creating a natural ptosis.
What does a tissue expander look like?
A tissue expander looks a lot like a breast implant, although it has a thicker outer shell than breast implants. There is a port on the front of the expander.
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.
Where does the latissimus dorsi insertion?
Origin of the latissimus dorsi is from spinous processes of thoracic T7–T12, thoracolumbar fascia, iliac crest and inferior 3 or 4 ribs, inferior angle of scapula and insertion on floor of intertubercular groove of the humerus.
Can you reverse a latissimus flap?
It’s not really practical to actually “reverse” a latissimus flap, in the sense of putting it exactly back where it was. The flap can certainly be removed, however, and it is not at all unreasonable to think that that might help your symptoms.
How long does it take for latissimus dorsi to heal?
Recovery time varies depending on the strain, with Grade 1 strains typically requiring 2-3 weeks and Grade 2 strains usually taking at least a month.
Do I need to wear a bra with tissue expanders?
Please do not wear an underwire bra. Please wear a “sports” bra for 24 hours a day for 21 days. You may remove the bra to shower. After 21 days please wear a bra for a minimum 12 hours a day to maintain the shape and position of the implants.
What do expanders feel like?
What do tissue expanders feel like? Tissue expansion may feel like muscle cramping or tight muscles. These sensations are normal, especially in the hours after a saline injection. You may also experience breast tenderness or soreness if you have scar tissue.
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 are the attachments of the latissimus dorsi?
The muscle has attachments to the lower six vertebral spinous processes anterior to the attachment of the trapezius on the spinous processes. Through the thoracolumbar fascia latissimus dorsi attaches to the lumbar and sacral spinous processes (T6 to S5 levels), and the supraspinous ligament.
What is a latissimus dorsi flap technique?
During latissimus dorsi flap reconstruction surgery, the surgeon makes an incision in the back near the shoulder blade and passes the oval section of skin, fat, blood vessels, and muscle through a tunnel under the skin and arm to the chest. Once in place, the mass is sculpted into a breast shape.
How do you treat a pulled latissimus dorsi?
Ice can be applied to your strained latissimus dorsi for 15 to 20 minutes at a time, every few hours, for the first few days after injury. It might be difficult to reach the sore area on your back, so consider propping the ice on top of a pillow and lying down or leaning back onto it.
What is a lat injury?
Lat muscle injuries in baseball. “The lat is a powerful anterior stabilizer that works eccentrically to prevent the upper arm from flying off the body in the layback phase of the pitching motion when the shoulder is externally rotated,” he said. “The lat then helps to aggressively internally rotate the shoulder during the acceleration phase of the delivery.”.
What is the latissimus dorsi flap?
The latissimus dorsi is a tissue flap procedure that uses muscle and skin from your upper back to create a new breast mound after a mastectomy.