title: [Immediate reconstruction of the breast with the free, microvascular "TRAM" flap].
abstract: The free TRAM flap for breast reconstruction offers superior blood flow and a lower donor defect morbidity than the pedicled flap. In the immediate setting, it is much easier to dissect the recipient vessels, because the thorco-dorsal vessels are not encased in a scarred post-mastectomy bed, which adds to the advantage of the free flap. The operative technique, the results and complications of nine patients having received a free TRAM for immediate breast reconstruction between 5/95 and 3/96 are reported.
authors.affiliation: Chirurgische Klinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
authors.forename: C J
authors.initials: CJ
authors.lastname: Gabka
authors.forename: G
authors.initials: G
authors.lastname: Maiwald
authors.forename: D
authors.initials: D
authors.lastname: Theodorou
authors.forename: H
authors.initials: H
authors.lastname: Bohmert
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D008866:Microsurgery / Q000379:methods*; D009367:Neoplasm Staging; D012086:Reoperation; D013524:Surgical Flaps / Q000379:methods*; D016896:Treatment Outcome
vernacular_title: Sofortrekonstruktion der Brust mit freiem, mikrovaskulärem "TRAM flap".