{"id":3784,"date":"2016-10-28T14:34:22","date_gmt":"2016-10-28T14:34:22","guid":{"rendered":"http:\/\/hospitaldaher.com.br\/plastica\/?page_id=3784"},"modified":"2022-09-27T08:43:06","modified_gmt":"2022-09-27T11:43:06","slug":"reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi","status":"publish","type":"page","link":"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/","title":{"rendered":"Retalho dorsal"},"content":{"rendered":"<section class=\"l-section wpb_row height_small\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"g-cols wpb_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_middle type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: justify;\">\u00c9 tamb\u00e9m um procedimento que permite a reconstru\u00e7\u00e3o nos casos de amputa\u00e7\u00e3o total da mama, por\u00e9m sempre associada a um implante de silicone.<\/p>\n<p style=\"text-align: justify;\">Consiste na migra\u00e7\u00e3o de uma \u201celipse\u201d (fuso) de pele, retirada das costas, aproximadamente na proje\u00e7\u00e3o do local onde passa a tira do suti\u00e3. Esse retalho de pele e gordura ficar\u00e1 preso ao m\u00fasculo subjacente, ou m\u00fasculo grande dorsal. Esse m\u00fasculo e ilha de pele migrar\u00e3o, por um t\u00fanel constru\u00eddo sob a pele, em dire\u00e7\u00e3o \u00e0 \u00e1rea da mama amputada, que comunicar\u00e1 a regi\u00e3o doadora \u00e0 da mama operada. Quando ele \u201cgira\u201d, leva preso em si aquele \u201cfuso\u201d de pele e gordura vascularizado e vivo.<\/p>\n<p style=\"text-align: justify;\">Estes tecidos substituir\u00e3o a pele e gordura retiradas pelo mastologista. No entanto por serem provenientes da regi\u00e3o dorsal, n\u00e3o t\u00eam volume suficiente de tecidos para reconstruir toda a mama. \u00c9 necess\u00e1rio ent\u00e3o, usar o implante de silicone que, pode-se dizer, \u00e9 obrigat\u00f3rio nesta t\u00e9cnica de reconstru\u00e7\u00e3o mam\u00e1ria.<\/p>\n<p style=\"text-align: justify;\">A reconstru\u00e7\u00e3o da ar\u00e9ola, mamilo e tratamento da mama contra-lateral, ocorrer\u00e3o em segundo tempo cir\u00fargico, e obedecem \u00e0s mesmas informa\u00e7\u00f5es do item anterior (reconstru\u00e7\u00e3o pelo TRAM).<\/p>\n<\/div><\/div><div class=\"w-separator size_small with_line width_default thick_1 style_solid color_border align_center\"><div class=\"w-separator-h\"><\/div><\/div><div class=\"wpb_text_column us_custom_9720dd5b\"><div class=\"wpb_wrapper\"><p style=\"text-align: left;\">Reconstru\u00e7\u00e3o mam\u00e1ria com a t\u00e9cnica do Latissimus Dorsi. Os fundamentos vasculares para a t\u00e9cnica de reconstru\u00e7\u00e3o utilizando-se o retalho do m\u00fasculo grande dorsal, descritos por BOSTWICK, est\u00e3o na art\u00e9ria tor\u00e7o-dorsal pesquisadas por cirurgi\u00f5es em todo o mundo, e exaustivamente por Daher em 1979.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-image align_center\"><div class=\"w-image-h\"><img loading=\"lazy\" decoding=\"async\" width=\"395\" height=\"559\" src=\"https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/86.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/86.jpg 395w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/86-212x300.jpg 212w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/86-106x150.jpg 106w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/86-325x460.jpg 325w\" sizes=\"(max-width: 395px) 100vw, 395px\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_large color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"g-cols wpb_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_middle type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-image align_center\"><div class=\"w-image-h\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"600\" src=\"https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01.jpg 900w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01-300x200.jpg 300w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01-768x512.jpg 768w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01-705x470.jpg 705w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01-450x300.jpg 450w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01-150x100.jpg 150w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/89-01-600x400.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/div><\/div><div class=\"w-separator size_small\"><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-image align_center\"><div class=\"w-image-h\"><img loading=\"lazy\" decoding=\"async\" width=\"830\" height=\"440\" src=\"https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90.jpg 830w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90-300x159.jpg 300w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90-768x407.jpg 768w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90-710x375.jpg 710w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90-705x374.jpg 705w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90-450x239.jpg 450w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90-150x80.jpg 150w, https:\/\/hospitaldaher.com.br\/plastica\/wp-content\/uploads\/2016\/10\/90-600x318.jpg 600w\" sizes=\"(max-width: 830px) 100vw, 830px\" \/><\/div><\/div><div class=\"w-separator size_small\"><\/div><\/div><\/div><\/div><div class=\"g-cols wpb_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column us_custom_9720dd5b\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Reconstru\u00e7\u00e3o mam\u00e1ria com retalho do m\u00fasculo \u201clat\u00edssimo do dorso\u201d ou grande dorsal.<br \/>\nO m\u00fasculo grande dorsal \u00e9 descolado e a ilha de pele do dorso fica presa a ele.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column us_custom_9720dd5b\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">O m\u00fasculo grande dorsal \u00e9 rotacionado para a parte anterior do t\u00f3rax, levando os tecidos de revestimento para a \u00e1rea da mastectomia; \u00e9 permitida a reconstru\u00e7\u00e3o com aux\u00edlio do implante de silicone. Mama reconstru\u00edda com retalho do lat\u00edssimo do dorso ou grande dorsal.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"\u00c9 tamb\u00e9m um procedimento que permite a reconstru\u00e7\u00e3o nos casos de amputa\u00e7\u00e3o total da mama, por\u00e9m sempre associada a um implante de silicone. Consiste na migra\u00e7\u00e3o de uma \u201celipse\u201d (fuso) de pele, retirada das costas, aproximadamente na proje\u00e7\u00e3o do local onde passa a tira do suti\u00e3. Esse retalho de pele e gordura ficar\u00e1 preso ao...","protected":false},"author":2,"featured_media":0,"parent":7169,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Retalho dorsal - Dr. Jos\u00e9 Carlos Daher<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Retalho dorsal - Dr. Jos\u00e9 Carlos Daher\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Jos\u00e9 Carlos Daher\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/daherplastica\/\" \/>\n<meta property=\"article:modified_time\" content=\"2022-09-27T11:43:06+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/\"},\"author\":{\"name\":\"Rodrigo Souza\",\"@id\":\"https:\/\/hospitaldaher.com.br\/plastica\/#\/schema\/person\/c5815cf777240b18b88be2b1e11beec5\"},\"headline\":\"Retalho dorsal\",\"datePublished\":\"2016-10-28T14:34:22+00:00\",\"dateModified\":\"2022-09-27T11:43:06+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/\"},\"wordCount\":539,\"publisher\":{\"@id\":\"https:\/\/hospitaldaher.com.br\/plastica\/#organization\"},\"inLanguage\":\"pt-BR\"},{\"@type\":[\"WebPage\",\"MedicalWebPage\"],\"@id\":\"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/\",\"url\":\"https:\/\/hospitaldaher.com.br\/plastica\/cirurgias-plasticas\/reconstrucao-mamaria-com-tecnica-do-retalho-do-musculo-grande-dorsal-latissimus-dorsi\/\",\"name\":\"Retalho dorsal - 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