Reconstructions With Back Donor Site Flaps and Validation of Quality of Life Scales

Reconstructions With Back Donor Site Flaps and Validation of Quality of Life Scales

The latissimus dorsi flap is the oldest and most used technique for breast reconstruction. Nonetheless, there are few studies evaluation the long-term effect of harvesting one of the muscles of the back. This project has four parts.

1. Validation of scales/instrument for Swedish.
2. Long-term results after reconstruction with latissimus dorsi- a ten year retrospective follow-up.
3. Thoracodorsal artery perforator flap (TDAP) vs latissimus dorsi flap- a randomized controlled trial - breast reconstruction.
4. TDAP vs Limber flap - a randomized controlled trial- reconstruction of axillary hidradenitis suppurativa.

Inclusion criteria:

• Patients eligible for breast reconstruction following mastectomy and radiation
• Non-smokers or ex-smokers (>6 weeks)
• BMI < 30

Exclusion Criteria:

• Inability to leave informed consent
• Inability to understand Swedish
• Previous surgery with scaring on back