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[Rectus abdominis myocutaneous flaps]

M A Germain1, L Barreau-Pouhaer, M C Missana

  • 1Département de Chirurgie Cervico-Faciale et O.R.L., Institut Gustave-Roussy, Villejuif, France.

Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1997
PubMed
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This study details the free transverse rectus abdominis myocutaneous (TRAM) flap technique for breast reconstruction. It focuses on harvesting the rectus muscle and skin paddle for optimal vascularity from the inferior epigastric pedicle.

Area of Science:

  • Plastic Surgery
  • Surgical Techniques
  • Breast Reconstruction

Context:

  • Mastectomy for breast cancer often requires reconstructive surgery.
  • Autologous tissue transfer offers a viable option for breast mound restoration.
  • The transverse rectus abdominis myocutaneous (TRAM) flap is a common technique.

Purpose:

  • To describe the surgical technique for free transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction.
  • To detail the anatomical considerations and harvesting method of the flap.
  • To provide a basis for understanding this reconstructive procedure.

Summary:

  • The free transverse rectus abdominis myocutaneous (TRAM) flap utilizes the inferior epigastric pedicle for vascularization.
  • The technique involves harvesting the rectus muscle between the umbilicus and arcuate line, with a transverse skin paddle similar to abdominoplasty.

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  • The incision is designed to include perforators around the umbilicus, ensuring adequate blood supply to the flap, with a mean pedicle length of 6 cm based on 100 dissections.

    • Impact:

    • Provides a clear surgical description for plastic surgeons performing TRAM flap breast reconstruction.
    • Contributes to the understanding of flap anatomy and harvesting for successful outcomes.
    • Aids in patient selection and surgical planning for breast cancer survivors undergoing reconstruction.