Reconstruction mammaire différée par lambeau de grand dorsal

The latissimus dorsi myocutaneous flap is a very versatile and reliable flap. It is probably the oldest myocutaneous flap known, used most commonly in reconstructive surgery. In breast reconstructive surgery, its versatility and safety allows many designs for cutaneous islands. It can also be used for autologous reconstructions, but most often implant is required. Raising the flap is neither a hard nor a long surgery; difficulties depend more on the choice of the fitted implant, (with the incidence of periprothetic contraction in case of radiotherapy) and on the surgery required on the other breast. For all these reasons, good expertise of breast plastic surgery is necessary.