Patients and methods
This retrospective study reviewed nine patients with advanced breast
cancer from June 2015 to October 2019 who received reconstruction with
an LD flap and STSGs, followed by NPWT. All patients underwent modified
radical mastectomy (MRM) and developed skin defects of dimensions
greater than 15 cm × 15 cm; eight of the nine patients received
immediate reconstruction. Moreover, of the nine patients, one had
undergone previous abdominal surgery, and the others refused to receive
TRAM reconstruction. NPWT was applied to all patients, and the detailed
procedure is described as follows.