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Related Experiment Video

Updated: Jul 27, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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Ipsilateral pedicled TRAM flaps: the safer alternative?

P A Clugston1, M K Gingrass, D Azurin

  • 1Department of Surgery, University of British Columbia, Vancouver, Canada. pac@unixg.ubc.ca

Plastic and Reconstructive Surgery
|January 8, 2000
PubMed
Summary

Ipsilateral pedicle Transverse Rectus Abdominis Myocutaneous (TRAM) flap breast reconstruction offers advantages over contralateral TRAM flaps. This study shows a lower partial flap necrosis rate of 2.0% with this preferred method.

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Area of Science:

  • Plastic Surgery
  • Breast Reconstruction
  • Microsurgery

Background:

  • Transverse Rectus Abdominis Myocutaneous (TRAM) flap breast reconstruction is a common procedure.
  • Concerns regarding pedicle compromise led to a preference for contralateral TRAM flaps.
  • Previous studies reported high complication rates for pedicled TRAM flaps, including partial flap necrosis (5-44%).

Purpose of the Study:

  • To evaluate the outcomes of ipsilateral pedicle TRAM flap breast reconstruction.
  • To compare complication rates, particularly partial flap necrosis, with contralateral TRAM flaps.
  • To identify risk factors for common complications in ipsilateral TRAM flap reconstructions.

Main Methods:

  • A consecutive series of 252 ipsilateral TRAM flap reconstructions in 190 patients.
  • Majority of patients underwent muscle-sparing procedures.
  • Analysis of complication rates and risk factors.

Main Results:

  • Partial flap necrosis rate was 2.0%, which is lower than previously reported series.
  • Complication rates were comparable to contralateral TRAM flap series.
  • Muscle-sparing techniques and immediate reconstruction with skin-sparing or skin-reduction procedures were frequently used.

Conclusions:

  • Ipsilateral pedicle TRAM flap breast reconstruction is a preferred method due to its advantages.
  • This technique demonstrates a lower partial flap necrosis rate compared to contralateral TRAM flaps.
  • Further analysis of risk factors for complications is warranted.