Bilateral delayed breast reconstruction with thoracodorsal flaps

Introduction. Primary multiple breast malignancies are of great importance both in oncology and in reconstructive surgery. The choice of breast reconstruction method often determines not only the objective parameters and skills of the surgeon, but also the tasks that the patient himself sets for him, taking into account the fact that reconstruction primarily solves issues of psycho-emotional health. Materials and methods of research. Currently, the thoracodorsal flap is the gold standard and is actively used both after mastectomy and during organ-preserving surgical treatment in order to replenish the removed breast area. It is versatile in its application and has a reliable vascular stem. The results of the treatment. The thoracodorsal flap can be successfully used in bilateral breast reconstruction. Achieving symmetry not only in the donor area, but also in the recipient area, combined with the relatively simple technique of performing surgery and the high reliability of these flaps, indisputably determines the importance of this method of autologous reconstruction. Conclusion. The key to the success of breast reconstruction is considered to be carefully thought-out tactics at the planning stage. The advantages of using a thoracodorsal flap determine a high assessment of the importance of this technique in bilateral reconstructive breast surgery.