[Experiences with a transverse lower rectus abdominis musculocutaneous flap. A new method for breast reconstruction]

The transversal lower rectus abdominis myocutaneous flap is presented as a new method in reconstruction surgery of the female breast. Attention is drawn to the problems associated with breast reconstruction, as seen against the background of this new method. Anatomy, indications, and surgical technique are presented. From the experiences collected so far with 10 cases, it can be concluded that the rectus flap is a valuable alternative to the latissimus dorsi flap and to reconstruction with silicone protheses. If the conditions for performing the rectus flap graft are fulfilled, this method may deserve preference in our opinion. The occurrence of four necroses of the tips, which may be considered as a typical complication, may in all probability be reduced by a more sophisticated surgical technique.