[Reconstruction of the breast with the m. latissimus dorsi flap after previous mastectomy].

The application of this method over 11 years has shown that careful preoperative planning is crucial for the achievement of good results. There is, however, no restitutio ad integrum. The reconstructed breast will always have a rather firm structure and tend to be scarred. However, the risk of necrosis is reduced by the good vascular and nervous supply which also provides optimal conditions for mamilla reconstruction. Intra- and postoperative antibiotic treatment lowers the risk of infection.