Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

PTEN acts as a master mediator of nonhealing venous leg ulcers by suppressing immune response, angiogenesis, and lymphangiogenesis.

Science translational medicine·2026

Same author

Comparative Histological Evaluation of Collagen Matrix Architectures for Soft Tissue Augmentation in the Oral Cavity: A Preclinical Canine Model.

Bioengineering (Basel, Switzerland)·2026

Same author

Perioperative Opioid Exposure and Postoperative Complications Following Facial Fracture Repair: A Propensity-Matched Analysis of 71,738 Patients.

The Journal of craniofacial surgery·2026

Same author

A Systematic Review Comparing Endoscopic and Open Approaches in Orbital Fracture Surgery.

The Journal of craniofacial surgery·2026

Same author

Subway-related trauma at an urban level I trauma center.

The American journal of emergency medicine·2026

Same author

Body Mass Index Versus Body Composition for Risk Stratification in Craniofacial Surgery.

The Journal of craniofacial surgery·2026

Search research articles

Related Experiment Video

Updated: Mar 13, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Free Versus Pedicled TRAM Flaps: Cost Utilization and Complications.

Samuel Golpanian¹, David J Gerth¹, Jun Tashiro¹

¹Division of Plastic, Aesthetic & Reconstructive Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami, Clinical Research Building, 1120 N.W. 14th Street, 4th Floor, Miami, FL, 33136, USA.

Aesthetic Plastic Surgery

|October 16, 2016

Summary

Free TRAM flap breast reconstruction is linked to higher postoperative complications and costs compared to pedicled TRAM. This analysis indicates free TRAM increases risks, necessitating further research into influencing factors.

Keywords:

Autologous breast reconstruction Complications Cost utilization Free TRAM Length of stay Pedicled TRAM

More Related Videos

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Related Experiment Videos

Last Updated: Mar 13, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Area of Science:

Plastic Surgery
Surgical Oncology
Reconstructive Surgery

Background:

Free transverse rectus abdominis myocutaneous (fTRAM) flap breast reconstruction offers benefits but requires advanced surgical expertise.
Understanding postoperative outcomes is crucial for optimizing patient care in breast reconstruction.

Purpose of the Study:

To compare the postoperative outcomes of free TRAM (fTRAM) versus pedicled TRAM (pTRAM) flap breast reconstruction.
To identify risk factors associated with complications and resource utilization in TRAM flap breast reconstruction.

Main Methods:

Analysis of the Nationwide Inpatient Sample database (2008-2011) for TRAM flap breast reconstructions.
Inclusion criteria: females undergoing fTRAM or pTRAM; exclusion: males.
Evaluation of demographics, comorbidities, complications, length-of-stay (LOS), and total charges (TC) using bivariate and multivariate analyses.

Main Results:

fTRAM was associated with higher rates of obesity, revision surgery, hemorrhage control, hematoma, and wound infection compared to pTRAM.
pTRAM showed higher rates of pneumonia and pulmonary embolism.
Risk-adjusted analysis revealed fTRAM as an independent risk factor for increased LOS, TC, and postoperative complications.

Conclusions:

Free TRAM flap breast reconstruction is associated with increased postoperative complications and resource utilization compared to pedicled TRAM.
Further research is needed to fully understand factors influencing outcomes in these procedures.