PERBANDINGAN TERJADINYA TRANSLOKASI KUMAN SEBAGAI PARAMETER TRANSLOKASI VIRUS COVID-19 ANTARA ALAT PELINDUNG DIRI LEVEL III DIBANDINGKAN DENGAN SUNS (SURGEONS OF UNS) PADA TENAGA MEDIS YANG BERTUGAS DI RUANG ISOLASI COVID-19 RSUD DR MOEWARDI SURAKARTA

Penulis Utama : Taufik Hidayanto
NIM / NIP : S561802009
× <p>Abstract: Background: Nipple-sparing mastectomies (NSMs) are a relatively new<br>method of conservatism in the treatment of breast cancer. Most of the breast skin is left<br>intact during NSM, creating a pocket that can be filled with an implant or an<br>autologous graft for a rapid reconstruction that yields an excellent cosmetic outcome.<br>Combining prosthetic-based breast restoration with autologous flaps, such the<br>latissimus dorsi (LD) flap, may be necessary to achieve symmetry. Case Description :<br>A 45 year old woman who developed a breast deformity following a mastectomy for<br>breast cancer. The Latissimus dorsi (LD) flap was chosen because it is a thin layer flap<br>with good vascularization. The Latissimus dorsi (LD) flap, on the other hand,<br>necessitates a different skin incision than the mastectomy. An inframammary<br>adipofascial flap has been used as an autologous flap in conjunction with prostheticbased<br>breast reconstruction subsequent to nipple-sparing mastectomy (NSM). In this<br>instance, the Latissimus dorsi muscle flap was employed in the axillary and breast<br>regions. The Latissimus dorsi (LD) flap was deemed suitable as it can provide<br>extensive coverage without any delay in the transfer procedure. Anatomically, this flap<br>and its vascular supply are quite consistent. The arterial supply is provided by the<br>thoraco-dorsal artery which provides a large branch to the serratus anterior muscle and<br>provides a cutaneous branch. Successful management of the infection, postoperative<br>partial weight bearing, and restricted range of motion in the affected breast was<br>anticipated. Conclusion: The latissimus dorsi flap is a safe choice for skin regeneration<br>after a nipple sparing mastectomy. This procedure has the advantage of minimizing<br>donor site morbidity.<br> </p>