title: Breast reconstruction using an innovative flap procedure.
abstract: Most patients consider breast reconstruction an essential part of total breast cancer management. In the wake of the silicone-gel implant controversy, more women are considering breast reconstruction using their own tissue. Since 1982, the transverse rectus abdominis myocutaneous (TRAM) flap has become a well-established and popular method of reconstruction. For many women, TRAM flap reconstruction is the surgery of choice following mastectomy. It offers victims of breast cancer the potential for soft, natural-appearing breast mounds without the risks associated with other types of flaps or manufactured implants. A description of autogenous tissue grafting using the TRAM flap for breast reconstruction is provided with associated perioperative nursing care guidelines and potential complications.
authors.affiliation: School of Nursing, University of Texas Health Sciences Center, San Antonio.
authors.forename: J T
authors.initials: JT
authors.lastname: Harden
authors.forename: N
authors.initials: N
authors.lastname: Girard
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000601:surgery; D018275:Carcinoma, Lobular / Q000601:surgery; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods / Q000451:nursing*; D015409:Mastectomy, Radical; D008875:Middle Aged; D009871:Operating Room Nursing; D018579:Patient Selection; D011183:Postoperative Complications; D013524:Surgical Flaps / Q000379:methods / Q000451:nursing*