TRAM flap

TRAM flap is a type of breast reconstruction surgery that uses tissue from the lower abdomen, known as the transverse rectus abdominis myocutaneous (TRAM) flap. This procedure is often performed after a mastectomy to restore the shape and appearance of the breast.

Procedure

The TRAM flap procedure involves the removal of skin, fat, and muscle from the lower abdomen, which is then used to reconstruct the breast. The tissue can be transferred to the chest area in one of two ways: as a free flap, where the tissue is completely detached and then reattached using microsurgery, or as a pedicled flap, where the tissue remains attached to the original blood supply and is tunneled under the skin to the chest area.

Benefits

The TRAM flap procedure offers several benefits. It provides a natural-looking result, as the tissue used for reconstruction is similar in texture and appearance to breast tissue. Additionally, because the tissue is taken from the patient's own body, there is no risk of rejection or allergic reaction.

Risks

As with any surgical procedure, the TRAM flap procedure carries some risks. These include complications related to anesthesia, infection, bleeding, and scarring. There is also the risk of flap failure, where the transferred tissue does not receive enough blood supply and dies.

Recovery

Recovery from a TRAM flap procedure can take several weeks. Patients are typically advised to avoid strenuous activity and heavy lifting for at least six weeks after surgery. Regular follow-up appointments with the surgeon are also necessary to monitor healing and to check for any complications.

See also

• Breast reconstruction
• Mastectomy
• Microsurgery

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