[TRAM flap in conjunction with latissimus dorsi muscle flap for breast reconstruction].
To investigate a method to reconstruct the breast and repair the chest wall defects at the same time. 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. 8 flaps in the four patients survived completely. The aesthetic results were very good. 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.