TRAM flap breast reconstruction for patients with advanced breast disease

Annals of Plastic Surgery
Amir B BehnamJoseph M Serletti

Abstract

Transverse rectus abdominis musculocutaneous (TRAM) breast reconstruction in patients with advanced breast cancer is controversial. Management of these patients is often complex and consists of surgical extirpation, postoperative radiation, chemotherapy, and in some cases bone marrow transplantation. Few studies have attempted to examine patient long-term survival and overall satisfaction with the surgical procedure. This study examines one center's experience with patients undergoing breast reconstruction for stage III and stage IV breast carcinoma. A retrospective review was performed of all patients undergoing TRAM reconstruction with stage III or IV breast cancer. Surviving patients and family members were contacted for follow-up. Patients were asked to grade their satisfaction with the reconstructive procedure on a 5-point scale (5 points, extremely satisfied; 1 point, extremely dissatisfied). Postoperative complications and time to return to work were also recorded. During a 10-year period (1991-2000) 21 women underwent TRAM reconstruction for advanced breast cancer. Twenty patients had stage III disease and 1 patient had stage IV disease. Mean patient age was 49 years. A total of 26 TRAM flaps were performed; 5 patients ...Continue Reading

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Citations

May 15, 2007·Journal of the Egyptian National Cancer Institute·Hassan M AbdallaAhmed A Elsayed
Mar 15, 2011·Plastic and Reconstructive Surgery·Christopher A CriseraBabak J Mehrara
Nov 11, 2006·Annals of Surgical Oncology·Anees B ChagparUNKNOWN University of Louisville Breast Sentinel Lymph Node Study
Jan 8, 2013·The Breast : Official Journal of the European Society of Mastology·Ryan SugrueLaura Murphy
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Feb 21, 2009·Journal of the American College of Surgeons·Ana M Fernández-FríasRafael Calpena
Nov 3, 2007·Surgical Oncology·Michael AlvaradoE Shelley Hwang
Feb 20, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A F TrinconiA M Fonseca
Mar 26, 2016·Plastic and Reconstructive Surgery. Global Open·Grigorios TanosJian Farhadi
Aug 26, 2020·Annals of Surgical Oncology·Malke AsaadAmy C Degnim
Aug 16, 2018·Annals of Surgical Oncology·Anna WeissGildy V Babiera

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