Skip to main content Skip to main navigation menu Skip to site footer

Latissimus dorsi flap after mastectomy surgery: case series

  • Cecillia Young ,
  • Sweety Pribadi ,
  • Bernard Agung Baskoro ,


Background: Breast cancer is the most common type of cancer in women. Breast cancer can be treated with mastectomy surgery, chemotherapy, hormonal, radiation, and biological agent therapy. Surgery is the primary therapy for breast cancer. The most common surgical procedure is a mastectomy which can be continued with breast reconstruction after mastectomy surgery to improve the shape and close the breast defects. Breast reconstructions can be performed with breast implant surgery and autologous or “flap” reconstruction. Latissimus Dorsi (LD) flap is a pedicled flap often used for breast reconstruction. Mastectomy surgery and breast reconstruction complications are seromas, late hypertrophic scars, hematomas, pain, muscle weakness, and infections. This study aimed to describe the case series of latissimus dorsi flaps in breast cancer patients after mastectomy surgery.

Case presentation: The author presents 6 cases of breast cancer patients after mastectomy surgery performed breast reconstruction using an LD flap. Five patients had a history of surgery on the abdomen, and one did not have a history of abdominal surgery but had planned pregnancy in the future. There were no complications after LD flap reconstruction surgery. LD flap surgery may be accompanied by implants so that the shape and size can be close to another breast, but related to the cost, and the patients refuse to use a breast implant. All patients were given chemotherapy before surgery.

Conclusion: Breast reconstructive surgery is used to close defects after mastectomy surgery and can improve the quality of life of breast cancer patients. Pedicled LD flaps are one of the techniques often used for breast reconstruction cases because of rare complications of necrosis in the donor area or flaps.


  1. Kementrian Kesehatan Republik Indonesia. Kanker Payudara Paling Banyak di Indonesia, Kemenkes Targetkan Pemerataan Layanan Kesehatan. [Online]. Available from: [Accessed 4 September 2022].
  2. CDC (Centers For Disease Control and Prevention). How Is Breast Cancer Treated? [Online]. Available from: [Accessed 4 September 2022].
  3. Cleveland clinic. Breast Cancer Surgery. [Online]. Available from:,lymphadenectomy)%20and%20breast%20reconstruction%20surgery. [Accessed 4 September 2022].
  4. National Cancer Institute. Breast Reconstruction After Mastectomy. [Online]. Available from:,used%20to%20rebuild%20the%20breast. [Accessed 4 September 2022].
  5. James H. Boehmler, Charles E. Butler. Aesthetic and Reconstructive Surgery of the Breast: Latissimus Dorsi Flap Breast Reconstruction. 1st ed. USA: Elsevier; 2010.
  6. Mufid burgić, Cathrine bruant-rodier, Astrid wilk, Frédéric bodin, Adi rifatbegović. Complications Following Autologous Latissimus Flap Breast Reconstruction. Journal of the Association of Basic Medical Sciences. 2010;10(1): 65-67.
  7. Josh H hage, Cornelis JH de velde, Sven JSD mieog. Preoperative chemotherapy for women with operable breast cancer. National Library of Medicine. 2007;1(2): 1.
  8. Jeffrey gu, Garry groot, Lorraine holtslander, Rachel engler-stringer. Understanding Women’s Choice Mastectomy Versus Breast Conserving Therapy in Early-Stage Breast Cancer. Clinical Medicine Insights: Oncology. 2017;11(1): 6.
  9. Ramon Garza, Oscar Ochoa, Minas chrysopoulo. Post-mastectomy Breast Reconstruction with Autologous Tissue: Current Methods and Techniques. PRS Global Open. 2017;9(2): 3433.
  10. Mohammed A. Rifaat, Ayman A. Amin, Mahmoud Bassiouny, Ayman Nabawi, Sherif Monib. The extended latissimus dorsi flap option in autologous breast reconstruction: A report of 14 cases and review of the literature. Indian Journal of Plastic Surgery. 2008; 41(1): 24-33.

How to Cite

Young, C., Pribadi, S. ., & Baskoro, B. A. . (2023). Latissimus dorsi flap after mastectomy surgery: case series. Intisari Sains Medis, 14(1), 94–97.




Search Panel

Cecillia Young
Google Scholar
ISM Journal

Sweety Pribadi
Google Scholar
ISM Journal

Bernard Agung Baskoro
Google Scholar
ISM Journal