Related Experiment Videos
[TRAM flap breast reconstruction using a fascia-sparing technique]
K Nohira1, Y Shintomi, M Hosokawa
1Department of Surgery, Keiyukai Sapporo Hospital, Japan.
Nihon Geka Gakkai Zasshi
|October 12, 1999
Summary
The fascia-sparing technique in TRAM flap breast reconstruction preserves abdominal tissue, preventing hernias and bulges. This method offers a safer alternative for autologous tissue breast reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Context:
- TRAM flap (transverse rectus abdominis myocutaneous) is a common autologous tissue method for breast reconstruction.
- Abdominal bulge or hernia are known complications of TRAM flap surgery due to rectus sheath and muscle scarring.
Purpose:
- To introduce and evaluate a fascia-sparing technique for TRAM flap breast reconstruction.
- To mitigate the risk of postoperative abdominal wall complications.
Summary:
- The fascia-sparing technique preserves most of the anterior rectus sheath during TRAM flap breast reconstruction.
- Applied in 10 patients (3 radical mastectomy, 7 modified radical mastectomy), with an average follow-up of 14 months.
- No abdominal bulge or hernia was observed, even without prosthetic mesh reinforcement.
Impact:
- Demonstrates the efficacy of the fascia-sparing technique in preventing abdominal wall morbidity after TRAM flap breast reconstruction.
- Presents a viable alternative for patients requiring bilateral rectus abdominis muscle portions where DIEP flap is unsuitable.