Breast reconstruction with the "Fleur de lis"-technique of the latissimus dorsi myocutaneous flap: Cosmetic results and complications

Objective: This study reviewed the results of breast reconstruction with th e "Fleur de lis"-technique of the latissimus dorsi myocutaneous flap. Methods: We reviewed the cosmetic and functional results of 48 patients wit h breast cancer who underwent immediate or delayed breast reconstruction wi th the above technique. Results: A total of 44 patients (92%) considered the cosmetic results good or excellent. The surgeon considered the result good in 39 patients (81%). Complications consisted of seromas, wide scars, and dog ears at the donor s ite. Immediate reconstruction was not associated with increased morbidity. Conclusion: The "Fleur de lis"-technique of the latissimus dorsi myocutaneo us flap is a safe technique with satisfactory cosmetic and functional resul ts for immediate or delayed breast reconstruction.