The latissimus dorsi myo-cutaneous flap for breast reconstruction

Summary The authors present a method of breast reconstruction after mastectomy making use of the versatile latissimus dorsi myo-cutaneous flap. Two different flap designs are proposed. A fish-shaped flap for reconstruction after mastectomy without irradiation damage and a tennis rackuet type flap for the replacement of irradiated skin, breast and pectoralis muscle. This axial pattern innervated composite flap enables a safe 2-stage breast reconstruction.