DOI: 10.36347/sjams.2019.v07i05.037

Pages: 1876-1880

Introduction: Breast reconstruction has evolved over the last century to be an integral component in the therapy after mastectomy. But the goals are now to correct the anatomic defect and to restore form and breast symmetry. The goal of the study was to evaluate the aesthetic outcome of postmastectomy breast reconstruction with extended latissimus dorsi myocutaneous pedicled flap in terms of shape, volume, inframmamary fold and consistency comparing opposite breast. Methodology: This was a prospective interventional study of 12 months period from April 2012 to March 2013 and was done in the Plastic Surgery Department, Dhaka Medical College Hospital. Twenty (20) females having breast carcinoma (up to stage llIA) and suitable for breast reconstruction were included in this study with 24 weeks follow up. Results: In this study, most number of patients were underwent immediate reconstruction 17(85%), delayed reconstruction only 03(15%). Finally, in this study, 08 (40%) patients were Very satisfied (score 10-14), 10 patients (50%) marked as Satisfied (score 6-9) and 02(10%) were Dissatisfied (score 0-5). Conclusion: The extended latissimus dorsi fails to give expected aesthetic outcome in both immediate and delayed reconstruction. But overall patient’s satisfaction levels in all cases were high as they were happy with the reconstructed breast rather than a flat chest.