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Breast reconstruction with a pedicled myocutaneous latissimus dorsi (LD) flap is a widely used reconstruction method. It is controversial if surgical denervation by transecting the thoracodorsal nerve should be performed or not. It is assumed that after denervation the latissimus dorsi muscle will significantly atrophy and lose volume. On the other hand discomforting signs and symptoms from muscle contraction are believed to be prevented if flap is denervated. The aim of the study was prospectively evaluate the influence of LD-flap innervation on the functional and aesthetic outcome of delayed breast reconstruction, and to compare the change in muscle structure in breast MRI and histopathology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DE-group | Other | surgical denervation by excising 1 cm of proximal thoracodorsal nerve |
|
| IN group | Other | thoracodorsal nerve is saved intact |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| denervation of thoracodorsal nerve or saving the nerve | Procedure |
|
Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24933238 | Derived | Kaariainen M, Giordano S, Kauhanen S, Helminen M, Kuokkanen H. No need to cut the nerve in LD reconstruction to avoid jumping of the breast: a prospective randomized study. J Plast Reconstr Aesthet Surg. 2014 Aug;67(8):1106-10. doi: 10.1016/j.bjps.2014.04.029. Epub 2014 May 13. | |
| 22094764 | Derived | Kaariainen M, Giordano S, Kauhanen S, Laaperi AL, Mattila P, Helminen M, Kalimo H, Kuokkanen H. The significance of latissimus dorsi flap innervation in delayed breast reconstruction: a prospective randomized study-magnetic resonance imaging and histologic findings. Plast Reconstr Surg. 2011 Dec;128(6):637e-645e. doi: 10.1097/PRS.0b013e318230c544. |
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