title: [TRAM flap in conjunction with latissimus dorsi muscle flap for breast reconstruction].
abstract: 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.
authors.affiliation: Plastic Surgery Hospital, Beijing Union Medical College, Chinese Academy of Medical Sciences, Beijing 100041, China.
authors.forename: Qun
authors.initials: Q
authors.lastname: Qiao
authors.forename: Ru
authors.initials: R
authors.lastname: Zhao
authors.forename: Cheng
authors.initials: C
authors.lastname: Liu
authors.forename: Zhi-fei
authors.initials: ZF
authors.lastname: Liu
authors.forename: Jia-ming
authors.initials: JM
authors.lastname: Sun
authors.forename: Cong-feng
authors.initials: CF
authors.lastname: Wang
mesh_terms: 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