[Skin-muscle flaps in reconstructive plastic surgery of the breast]

The authors' experience with treatment of 20 patients has shown that musculo-cutaneous thoracodorsal and TRAM flaps are the best methods of breast plasty after mastectomy. These operations provide oncologically safe performing radical mastectomy with the simultaneous restoration of the shape and volume of the breast and give reliable results. The additional application of the axillary fascial-fatty graft from the lateral surface of the chest improves the esthetic results of the breast reconstruction with the thoraco-dorsal flap. Using the TRAM flap for subcutaneous mastectomy can be the operation of choice in surgical rehabilitation of certain forms of tumor-like lesions of mammary glands.