[TRAM flap in conjunction with latissimus dorsi muscle flap for breast reconstruction].
OBJECTIVE
To investigate a method to reconstruct the breast and repair the chest wall defects at the same time.


METHODS
The operation procedure combined the transverse rectus abdominis myocutaneous (TRAM) flap with the latissimus dorsi muscle(LDM) flap for breast reconstruction and repair of chest wall defect. Two patients underwent delayed breast reconstruction using this technique.


RESULTS
8 flaps in the four patients survived completely. The aesthetic results were very good.


CONCLUSIONS
This method can be used to reconstruct breast and repair the defect of chest wall at the same time, avoiding the disadvantage in the flap transfer of TRAM or LDM.
Qiao
Qun
Q
Plastic Surgery Hospital, Beijing Union Medical College, Chinese Academy of Medical Sciences, Beijing 100041, China.
Zhao
Ru
R
Liu
Cheng
C
Liu
Zhi-fei
ZF
Sun
Jia-ming
JM
Wang
Cong-feng
CF
D000328:Adult; D019928:Breast Implantation / Q000379:methods; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D017568:Rectus Abdominis / Q000637:transplantation*; D013524:Surgical Flaps; D014182:Transplantation, Autologous; D016896:Treatment Outcome