Clinical Research Directory

Inclusion Criteria: * Female patients aged 18 to 65 years. * Patients with post-oncologic or post-burn breast deformities requiring autologous breast reconstruction. * Patients requiring reconstruction with a latissimus dorsi musculocutaneous flap incorporating a skin paddle measuring ≤6 cm in its greatest dimension. * Defects considered unsuitable for correction with local tissue rearrangement. * Intact latissimus dorsi muscle and thoracodorsal vascular pedicle. * Ability to provide written informed consent and comply with the study follow-up schedule. Exclusion Criteria: * Age younger than 18 years or older than 65 years. * Body mass index (BMI) \>35 kg/m². * Uncontrolled medical comorbidities or immunosuppressive conditions. * Absence of a skin defect requiring reconstruction. * Cutaneous defects requiring a skin paddle \>6 cm in its greatest dimension. * Inadequate oncologic control or evidence of active disease. * Ongoing adjuvant chemotherapy or radiotherapy at the time of reconstruction. * Previous thoracic surgery or trauma compromising the latissimus dorsi muscle or thoracodorsal vascular pedicle. * Inability or unwillingness to comply with study follow-up.