الفهرس 
Scarless Versus Conventional Latissimus Dorsi Flap In PostMastectomy Implant Based Breast Reconstruction
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Abstract
The incidence of breast cancer world-wide is increasing, resulting in an increase in the number of total mastectomies. Breast reconstruction is becoming a popular preference for women who undergo a mastectomy. The latissimus dorsi muscle has been the workhorse of reconstructive surgery. It allows surgeons to reconstruct larger and more natural looking breasts to mimic as much as possible the contralateral side and provides good lower pole implant coverage to prevent migration or displacement at low cost. The main hypothesis of this study is that, in breast reconstruction after total mastectomy, the scarless Latissimus Dorsi muscle harvesting technique is at least non-inferior to the conventional technique regarding rate of development of complications and is superior to it regarding the aesthetic outcome.51 patients were enrolled over the period from Jan 2015 to Jan 2019 in this prospective, non-randomized, controlled, interventional, safety/efficacy trial. All patients were scheduled for implant-based post mastectomy reconstruction. 24 patients underwent the scarless LD harvesting technique and were compared to 27 patients that had the conventional LD harvesting technique in reconstruction. All patients were followed up for a minimum of one year for a primary outcome of superiority for aesthetic outcome and noninferiority for complications. Aesthetic outcome was evaluated by either physician assessed photographic evaluation and by computed photographic assessment using BCCT.core 3.0 artificial intelligence program