Fig. 3From: Latissimus dorsi muscle flap transfer through endoscopic approach combined with the implant after tissue expansion for breast reconstruction of mastectomy patients The transfer of LDMF as an additional cover for the final implant. A LDMF is harvested using endoscopic technique through previous mastectomy incision approach and rotates to the affected chest wall. B The muscle flap is inserted into the expanded pocket, and the edges are fixed to the pocket through external bolster sutures, which serve as a complete cover for the implant. The bolster made of thirty-two layers of Vaseline gauze measuring 1.0 cm in length and 0.5 cm in width is secured by mattress suture of 0 silk suture. LDMF latissimus dorsi muscle flapBack to article page