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Related Experiment Videos

Umbilical transposition in TRAM flap: a simple horizontal translocation.

T Raveh1, C B Gordon, A F del Campo

  • 1Hospital Angeles del Pedregal, Mexico City, Mexico.

Plastic and Reconstructive Surgery
|January 10, 2001
PubMed
Summary

A novel umbilical repositioning technique using rectus sheath and muscle incision offers stable, non-stenotic umbilicus post-TRAM flap surgery. This method avoids hypertrophic scars and preserves abdominal muscle function, unlike other scar-producing techniques.

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Area of Science:

  • Plastic Surgery
  • Abdominal Wall Reconstruction

Background:

  • Transverse Rectus Abdominis Myocutaneous (TRAM) flap operations for breast reconstruction often require abdominal wall plication.
  • Umbilical repositioning is a critical step in these procedures, with various techniques having potential drawbacks.
  • Existing methods like direct umbilical stalk suturing can lead to hypertrophic scars and stenosis.

Purpose of the Study:

  • To present a simple and effective method for umbilical repositioning during unilateral abdominal wall plication in TRAM flap surgery.
  • To evaluate the stability, aesthetic outcome, and functional impact of the proposed umbilical repositioning technique.

Main Methods:

  • A surgical technique involving incision of the anterior rectus sheath and rectus abdominis muscle for umbilical repositioning.

Related Experiment Videos

  • Application of this method in cases requiring unilateral abdominal wall plication during TRAM flap procedures.

    • Main Results:

    • The described method ensures a stable and non-stenotic umbilicus.
    • This technique effectively avoids the formation of hypertrophic scars associated with other methods.
    • Patients maintained the ability to perform sit-ups, indicating preserved contralateral muscle activity and no noticeable periumbilical weakening.

    Conclusions:

    • This simple umbilical repositioning technique is a safe and effective option for TRAM flap surgery.
    • It offers superior aesthetic outcomes by preventing hypertrophic scarring.
    • The method preserves abdominal muscle function, ensuring patient quality of life.