[Reconstruction of major chest wall defects by a latissimus dorsi myocutaneous flap and autologous dermis graft (author's transl)].

In a case of breast cancer which infiltrated the anterior chest wall parts of the 4.-8. rib have to be resected. The defect of the chest wall measured 24 x 14 cm and was covered in two layers. By inserting an autologous dermis transplantant in the bony defect tightness and stability of the chestwall was achieved. The myocutaneous defect was covered by a latissimus dorsi island flap. Using this technique a perfect healing of the dermis graft was guaranteed.