Clinical and Research ArticlesRefining the Latissimus Dorsi Flap A Useful Tool to Salvage Complex Breast DefectsMaselli, Amy M. MD; Mella, Juan Rodolfo MD, MPH; Guo, Lifei MD, PhDAuthor Information From the Department of Plastic and Reconstructive Surgery, Lahey Hospital and Medical Center, Burlington, MA. Received April 16, 2019, and accepted for publication, after revision July 15, 2019. Conflicts of interest and sources of funding: none declared. Reprints: Lifei Guo, MD, PhD, Lahey Hospital and Medical Center, 41 Mall Rd, Burlington, MA 01805. E-mail: [email protected]. Annals of Plastic Surgery: October 2019 - Volume 83 - Issue 4S - p S11-S16 doi: 10.1097/SAP.0000000000002092 Buy Metrics Abstract The latissimus dorsi flap has been used to reconstruct mastectomy defects for more than 100 years. It has remained relevant in breast reconstruction because of its consistent anatomy, robust vascular supply, congruent vector, and ability to cover large surface areas. With the evolution of oncologic and reconstructive techniques as well as improvements in prosthetic devices, however, this myocutaneous flap has largely fallen out of favor in primary breast reconstruction. Our experience demonstrates that the latissimus dorsi flap remains a versatile flap that may be tailored to reconstruct various oncologic breast defects and deformities in an expeditious fashion. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.