Breast reconstruction following mastectomy for @entity5 using a latissimus dorsi myocutaneous flap must always be completed by insertion of a prosthesis. In 76% of our cases, it was associated with surgery on the contralateral breast to produce symmetry. By following this therapeutic plan using a flap as large as possible taken in the line of the @entity10874 of the brassiere, and raised with a large expanse of muscle to completely cover the prosthesis, the aesthetic results were uniformly good. This applies to the mastectomy @entity1 without adjuvant therapy. All the mediocre and poor results were observed in the @entity1 who had undergone radiotherapy. The most severe post radiotherapy complications (8.7% of our series) with progressive @entity82 and chest wall retraction, fortunately rare today, are a contraindication to this type of reconstruction. This case requires very large soft tissue transfer with a rectus abdominis myocutaneous flap. This is a much larger procedure for the @entity1 . 91% of post radiotherapy @entity1 are satisfied with the result with a follow-up of up to 9 years demonstrating good stability. Despite this only 74% of the results were considered to be good by the surgeon. So 17% could be improved and this suggests new efforts in two directions: 1) To avoid the most frequent cause which is the formation of a capsule. The availability of the new textured prosthesis is a good reason to hope for a decreased incidence, but the follow-up 18 month is not yet long enough to confirm this. 2) To routinely position the flap in the lower outer quadrant respecting the principle of aesthetic units.

[Breast reconstruction with a latissimus dorsi musculocutaneous flap after amputation for XXXX . Apropos of 45 cases with a 9-year follow-up].

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis'] @entity10874 :: ('11171', 'Gene') :: ['strap']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
