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Abdominal wall function after rectus abdominis transfer.

M Lejour1, M Dome

  • 1Department of Plastic Surgery, University of Brussels, Belgium.

Plastic and Reconstructive Surgery
|June 1, 1991
PubMed
Summary

TRAM flap breast reconstruction using rectus muscle is safe and well-tolerated. While functional deficits exist, patients report high satisfaction and reduced back pain post-surgery.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Abdominal Wall Function

Background:

  • TRAM flap surgery is a common method for breast reconstruction.
  • Concerns exist regarding the impact of rectus muscle use on abdominal wall function.

Purpose of the Study:

  • To evaluate the abdominal wall function after TRAM flap breast reconstruction.
  • To assess patient outcomes and satisfaction following the procedure.

Main Methods:

  • Evaluated 57 patients 6 months to 2 years post-TRAM flap surgery.
  • Assessed abdominal wall function, back pain, and physical capabilities.
  • Utilized CT scans to examine muscle structure and position.

Main Results:

  • No hernias or bulging occurred with Teflon mesh repair.
  • Patients reported decreased back pain and maintained physical activity levels.
  • Physiotherapy and CT scans revealed decreased abdominal muscle function, particularly in bilateral cases.

Conclusions:

  • TRAM flap breast reconstruction with rectus muscle use is safe and leads to high patient satisfaction.
  • While objective functional deficits are noted, subjective patient outcomes are positive.
  • Teflon mesh repair ensures abdominal wall integrity without complications.

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