Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling
Background One of the most common breast reconstruction techniques that uses autologous tissue is the free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap. However, patients hesitate to choose this method because of the long transverse scar between the anterior superior iliac...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2015-10-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-21-109.pdf |
| _version_ | 1818537911933468672 |
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| author | Tae Hoon Kim Kyung Won Minn Ung Sik Jin |
| author_facet | Tae Hoon Kim Kyung Won Minn Ung Sik Jin |
| author_sort | Tae Hoon Kim |
| collection | DOAJ |
| description | Background One of the most common breast reconstruction techniques that uses autologous tissue is the free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap. However, patients hesitate to choose this method because of the long transverse scar between the anterior superior iliac spines. Furthermore, traditional reconstruction using a free MS-TRAM flap entails donor site morbidities such as pain, hematoma, or seroma. Here, we introduce a mini-abdominoplasty-designed free TRAM flap with flap beveling, which can be a good method for breast reconstruction in Asian patients who have small breasts. Methods Breast reconstruction with free MS-TRAM flaps using the mini-abdominoplasty design and flap beveling was performed in 10 patients following mastectomy. Patient age, presurgical brassiere cup size, tumor type, operation type, excised breast weight, elevated flap weight, flap weight used for the breast, recipient vessel, operation time, day that the abdominal drain was removed, and complications associated with both the flap and donor site were documented for all flaps and patients. Results For all 10 mini-abdominoplasty-designed free TRAM flap procedures, no flap loss or donor site morbidity was noted over a mean follow-up time of 16 months. Conclusions The mini-abdominoplasty-designed free TRAM flap can safely and satisfactorily be implanted for the reconstruction of mastectomy defects. It can transfer the lower abdominal skin and subcutaneous tissue for breast reconstruction with minimal donor site scarring and morbidity, especially in Asian patients, who generally have smaller breasts. |
| first_indexed | 2024-12-11T18:56:50Z |
| format | Article |
| id | doaj.art-3bbda4a1b9ec48758bf3de8d729ff18b |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-12-11T18:56:50Z |
| publishDate | 2015-10-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-3bbda4a1b9ec48758bf3de8d729ff18b2022-12-22T00:54:07ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372015-10-0121310911510.14730/aaps.2015.21.3.10990Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap BevelingTae Hoon Kim0Kyung Won Minn1Ung Sik Jin Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, KoreaBackground One of the most common breast reconstruction techniques that uses autologous tissue is the free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap. However, patients hesitate to choose this method because of the long transverse scar between the anterior superior iliac spines. Furthermore, traditional reconstruction using a free MS-TRAM flap entails donor site morbidities such as pain, hematoma, or seroma. Here, we introduce a mini-abdominoplasty-designed free TRAM flap with flap beveling, which can be a good method for breast reconstruction in Asian patients who have small breasts. Methods Breast reconstruction with free MS-TRAM flaps using the mini-abdominoplasty design and flap beveling was performed in 10 patients following mastectomy. Patient age, presurgical brassiere cup size, tumor type, operation type, excised breast weight, elevated flap weight, flap weight used for the breast, recipient vessel, operation time, day that the abdominal drain was removed, and complications associated with both the flap and donor site were documented for all flaps and patients. Results For all 10 mini-abdominoplasty-designed free TRAM flap procedures, no flap loss or donor site morbidity was noted over a mean follow-up time of 16 months. Conclusions The mini-abdominoplasty-designed free TRAM flap can safely and satisfactorily be implanted for the reconstruction of mastectomy defects. It can transfer the lower abdominal skin and subcutaneous tissue for breast reconstruction with minimal donor site scarring and morbidity, especially in Asian patients, who generally have smaller breasts.http://e-aaps.org/upload/pdf/aaps-21-109.pdfabdominoplastymammoplastymyocutaneous flap |
| spellingShingle | Tae Hoon Kim Kyung Won Minn Ung Sik Jin Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling Archives of Aesthetic Plastic Surgery abdominoplasty mammoplasty myocutaneous flap |
| title | Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling |
| title_full | Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling |
| title_fullStr | Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling |
| title_full_unstemmed | Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling |
| title_short | Breast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling |
| title_sort | breast reconstruction using a tram free flap with a mini abdominoplasty design and flap beveling |
| topic | abdominoplasty mammoplasty myocutaneous flap |
| url | http://e-aaps.org/upload/pdf/aaps-21-109.pdf |
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