Open AccessBreast reconstruction by pedicled transverse rectus abdominis myocutaneous flap
Author(s) -
Jefta Kozarski,
Biljana Đorđević,
Goran Šijan,
Goran Stanković,
Bojan Stanojević
Publication year - 2004
Publication title -
vojnosanitetski pregled
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.123
H-Index - 19
eISSN - 2406-0720
pISSN - 0042-8450
DOI - 10.2298/vsp0402193k
Subject(s) - breast reconstruction , medicine , surgery , breast tissue , soft tissue , rectus abdominis muscle , breast cancer , cancer
Reconstruction of the amputated breast in female patients after surgical management of breast carcinoma is possible with the use of autologous tissue, synthetic implants, or by combining autologous tissue and synthetic materials. Autologous tissue provides soft and sufficiently elastic tissue, which is usable for breast reconstruction and eventually obtains original characteristics of the surrounding tissue on the chest wall. The use of the TRAM flap for breast reconstruction was introduced in 1982 by Hartrampf, Scheflan, and Black. The amount of the TRAM flap tissue allows breast reconstruction in the shape most adequate to the remaining breast. The possibilities of using the TRAM flap as pedicled myocutaneous flap or as free TRAM flap make this flap a superior choice for breast reconstruction in comparison with other flaps.