PMID: 11917952Mar 29, 2002Paper

Sense and sensibility: breast reconstruction with innervated TRAM flaps

Journal of Reconstructive Microsurgery
Jeffrey Scott Isenberg

Abstract

During a 25-month period, ten patients underwent post-oncologic breast reconstruction with innervated TRAM flaps. All patients were noted to have a more rapid and full return of sensation by the modalities tested than has been reported among patients with non-innervated TRAM-flap reconstructions. No complications relating to the microneural surgery were noted. Three patients experienced complications common to flaps in general: specifically, these were skin-flap necrosis in the cutaneous portion of one flap, skin necrosis of the infraumbilical skin flap at the closure site, and abdominal bulging at the donor area. Given the minimal increase in operating time required for the completion of the innervated TRAM-flap reconstruction and the obvious benefits in terms of postoperative sensation, this seems potentially to be an important modification to what is already a well-established technique.

Citations

Jun 7, 2003·British Journal of Plastic Surgery·L de WeerdS Weum
Apr 21, 2004·Annals of Plastic Surgery·J Scott Isenberg, Henry Spinelli
May 3, 2011·Plastic and Reconstructive Surgery·Fabio SantanelliGuido Paolini
Jun 15, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Helena K PuontiTaina A Partanen
Jun 27, 2007·The Breast Journal·Jakob LagergrenPer Hansson
Feb 27, 2018·Plastic and Reconstructive Surgery·Jason M WeisslerLiza C Wu
Jun 15, 2006·Plastic and Reconstructive Surgery·Claire L F TempleDouglas C Ross
Jul 3, 2019·The Breast Journal·Rebecca KnackstedtRisal Djohan
Jan 11, 2019·Annals of Plastic Surgery·James GatherwrightRisal Djohan
Feb 13, 2019·Breast Cancer Research and Treatment·E BijkerkS M H Tuinder
Oct 10, 2018·Journal of Surgical Oncology·Anna ZhouArash Momeni
Jul 28, 2019·Plastic and Reconstructive Surgery·Jop BeugelsStefania M H Tuinder
Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·Arash MomeniMichael Januszyk
Feb 24, 2021·Journal of Surgical Oncology·Emma D VartanianKetan M Patel

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