Related Experiment Videos
Abdominal function after pedicled TRAM flap surgery
C L Mizgala1, C R Hartrampf, G K Bennett
1Division of Plastic Surgery, Ochsner Clinic, New Orleans, Louisiana.
Clinics in Plastic Surgery
|April 1, 1994
Summary
This study presents surgical techniques for the pedicled TRAM flap, focusing on abdominal wall preservation and repair. These methods aim to maintain abdominal wall strength and function long-term, addressing a key surgical concern.
Area of Science:
- Plastic Surgery
- Abdominal Wall Reconstruction
- Breast Reconstruction
Background:
- The pedicled TRAM flap is a common breast reconstruction technique.
- Abdominal wall weakness is a significant concern with TRAM flap surgery.
Purpose of the Study:
- To describe surgical techniques that minimize abdominal wall morbidity.
- To evaluate the long-term functional outcomes of the abdominal wall after TRAM flap surgery.
Main Methods:
- Review of surgical anatomy of the abdominal wall.
- Detailed description of partial rectus muscle and fascia harvest.
- Multilayered direct fascial closure with selective mesh reinforcement.
Main Results:
- A 13-year experience with 662 patients.
- Data supports the optimization of postoperative abdominal function.
- Demonstrated a competent abdominal wall that does not deteriorate over time.
Conclusions:
- The described surgical techniques preserve abdominal wall integrity.
- These methods effectively address concerns regarding TRAM flap-related abdominal weakness.
- Long-term functional outcomes are favorable, ensuring a stable abdominal wall.