Treatment of late solidified hematoma in back donor site after breast reconstruction with latissimus dorsi flap: Report of three cases

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Abstract

Background: Late solidified hematoma is a rare complication of breast reconstruction with latissimus dorsi (LD) flap. The majority of hematomas occur in the immediate postoperative period; however, some cases can occur at a distant point in time after surgery and do not have a definitive mechanism of injury or develop symptoms immediately after the triggering event. Moreover, treatment of hematoma has not yet been established. Case presentation: Breast reconstruction with LD flap has been performed between January 2014 and June 2018 in more than 275 cases. We report 3 cases of late solidified hematoma at the back-donor site that have developed years after breast reconstruction with LD flap, in which a surgical approach was performed because the solidified hematomas could not be treated with percutaneous aspiration. Conclusions: We report successful surgical treatment and histological findings of late-onset solidified hematoma as a rare complication of Breast reconstruction with LD flap.

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Lee, J. S., Jeon, H. J., Lee, J., Park, H. Y., & Yang, J. D. (2019). Treatment of late solidified hematoma in back donor site after breast reconstruction with latissimus dorsi flap: Report of three cases. BMC Surgery, 19(1). https://doi.org/10.1186/s12893-019-0516-6

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