The island-type pedicled TRAM flap: Improvement of the aesthetic outcomes of breast reconstruction

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Jung Soo YoonHee Chang Ahn

Abstract

The pedicled transverse rectus abdominis myocutaneous flap (TRAM) remains an effective and widely-used method for breast reconstruction despite well-documented donor-site morbidity. We present the island-type pedicled TRAM flap as a way to obtain better and more reliable outcomes in breast reconstruction. A retrospective chart review of patients who underwent breast reconstruction with an island-type pedicled TRAM flap was performed. Patient demographics and complications were reviewed. In the island-type pedicled TRAM flap, we transversely resected the upper ipsilateral rectus muscle surrounding the origin of the superior epigastric vessels, preserving only a 1-cm muscle strip including the vascular pedicle to prevent epigastric bulging and inframammary fold (IMF) disruption. The flap was turned over into the ipsilateral breast pocket. The IMF was repaired except for the portion where the pedicle was placed. From January 2013 to November 2017, 88 patients underwent surgery using the island-type pedicled TRAM flap. The etiology of the defect was breast cancer with mastectomy in 86 cases, and paraffinoma in two cases. Seventy-seven patients underwent unilateral reconstruction, and 11 patients underwent bilateral reconstruction. ...Continue Reading

References

Feb 1, 1982·Plastic and Reconstructive Surgery·C R HartrampfP W Black
Jul 27, 2002·Plastic and Reconstructive Surgery·Maurice Y NahabedianPaul N Manson
Aug 8, 2002·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·P DeurenbergS Guricci
Feb 5, 2005·Plastic and Reconstructive Surgery·Maurice Y NahabedianBahram Momen
Jun 30, 2005·Annals of Plastic Surgery·Yoon S Chun, Julian J Pribaz
May 3, 2006·Plastic and Reconstructive Surgery·Patrick B GarveyThomas D Samson
Oct 24, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Paolo BogettiElisabetta Baglioni
Nov 26, 2009·Plastic and Reconstructive Surgery·Donald W Buck, Neil A Fine
Feb 8, 2013·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Eun Key KimTaik Jong Lee
Sep 6, 2013·Plastic and Reconstructive Surgery·Edward I ChangDavid W Chang
Apr 4, 2015·Plastic and Reconstructive Surgery·Joanna C MennieDavid A Cromwell
Oct 27, 2015·Plastic and Reconstructive Surgery. Global Open·Mario RietjensLomeo Giuseppe
Oct 27, 2015·Plastic and Reconstructive Surgery. Global Open·Jonathan A SchwitzerJoseph J Disa
Jul 26, 2017·Plastic and Reconstructive Surgery. Global Open·Prakasit ChirappaphaPanya Thaweepworadej
Dec 12, 2017·The Breast : Official Journal of the European Society of Mastology·Woonhyeok JeongJunhyung Kim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
E M KokubaL M Ferreira
Journal of the Egyptian National Cancer Institute
Mahmoud M BassiounyOmar Youssef
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
G GherardiniM Wickman
Plastic and Reconstructive Surgery
P A ClugstonG P Maxwell
© 2021 Meta ULC. All rights reserved