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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2005, Number 3

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An Med Asoc Med Hosp ABC 2005; 50 (3)

Breast reconstruction with single-pedicle transverse rectus abdominal muscle flap (TRAM) in patients with lower abdominal scars

Avendaño VG, Navarrete SA, Durán CMA, Ramos VLG, Malagón HH, Melchor GJM, Blanco SA, Quezada AI, Sánchez VA

Language: Spanish
References: 22
Page: 110-116
PDF size: 183.44 Kb.


ABSTRACT

We studied the efficiency and safety of single-pedicle TRAM flap for unilateral breast reconstruction in women with breast cancer who had lower midline abdominal scars caused by prior abdominal surgery. 48 female patients were included without major risk factors; their age ranged from 26 to 60 years (average age of 43 years). After mastectomy an immediate unilateral breast reconstruction was performed in 40 (83.33%) and a delayed reconstruction in 8 (16.66%); all the reconstructions were performed with a modified single-pedicle TRAM flap technique: we included in the flap elevation the layer above the anterior rectus sheath with the vessels (supra aponeurotic layer and plexus) to assure the arterial flow and the flap viability. We didn’t found any major complication nor partial flap loss and only minor complications were founded: seroma in 5 patients (10.41%) and epidermal lysis in 2 (4.16%). We concluded that the single-pedicle TRAM flap with our technique modification is an excellent option for unilateral breast reconstruction in women with breast cancer when the lower midline abdominal scar caused by prior abdominal surgery is present, and there aren’t association with higher risk complication.


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