A critical review of the TRAM flap for the mastectomy patient
β Scribed by D. K. E. Schoot; W. K. Roos; R. J. Zeeman; A. N. Posma
- Publisher
- Springer
- Year
- 1995
- Tongue
- English
- Weight
- 385 KB
- Volume
- 18
- Category
- Article
- ISSN
- 1435-0130
No coin nor oath required. For personal study only.
β¦ Synopsis
The lower transverse rectus abdominis musculocutaneous (TRAM) flap is becoming more popular as a method of breast reconstruction due to its unique aesthetic results. Forty-five patients were reviewed. The complication rate was high (38%). There was 1 total flap loss and 7 patients (16%) with a partial flap loss. This occurred more frequently in smokers. There were 8 abdominal hernias (18%). Despite these problems 91% of patients were satisfied with their reconstructed breast. Rigid patient selection and a good operative technique reduced the complication rate of this major surgical procedure.
π SIMILAR VOLUMES
Skin blood flow in the free TRAM flap has been shown to be superior to that in the pedicled TRAM flap, and in 1990 the free TRAM flap was adopted as the procedure of choice for breast reconstructions. The findings in the first 50 patients whose breasts were reconstructed with free microvascular TRAM