Endoscopic-assisted Versus Open Latissimus Dorsi Flap Harvest for Breast Reconstruction: A Randomized Comparative Study

Background

The latissimus dorsi (LD) flap remains a reliable option for breast reconstruction; however, the long donor-site scar represents a major concern. Endoscopic-assisted LD flap harvest has been introduced to improve cosmetic outcomes while maintaining reconstructive efficacy. The current study evaluates endoscopic-assisted LD flap harvest for breast reconstruction and compares it with the open technique regarding donor-site morbidity, cosmetic outcome, patient satisfaction, and operative variables.