[Rectus abdominis myocutaneous flaps].
The free transverse rectus abdominis myocutaneous (TRAM) flap is vascularized by the inferior epigastric pedicle. There are many techniques according to the indication. We describe the technique for breast reconstruction after mastectomy for cancer. The rectus muscle is taken between the umbilicus and the arcuate line. The skin paddle, was taken transversely like an abdominoplasty. The incision extends from 1 cm above the umbilicus to include the perforators around it. The mean length of the vascular epigastric pedicle is 6 cm. This study was performed from one hundred dissections.
Germain
M A
MA
Département de Chirurgie Cervico-Faciale et O.R.L., Institut Gustave-Roussy, Villejuif, France.
Barreau-Pouhaer
L
L
Missana
M C
MC
Demers
G
G
D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D013518:Surgery, Plastic; D013524:Surgical Flaps
Le transplant libre myocutané de grand droit de l'abdomen.