The pedicled TRAM flap in breast reconstruction.
The pedicled transverse rectus abdominis myocutaneous (TRAM) flap remains a viable option in breast reconstruction. This article documents the history of the TRAM flap and puts in context the vascular anatomy through a discussion of the vascular zones. Options for flap delay are discussed and an algorithm is presented for patient selection. Finally, the issue of unipedicle versus bipedicle flap harvest is discussed and complications are examined.
Jones
Glyn
G
Division of Plastic and Reconstructive Surgery, Emory Crawford Long Hospital, Atlanta, GA 30308, USA. ghjones5@earthlink.net
D000465:Algorithms; D001943:Breast Neoplasms / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D009558:Nipples / Q000601:surgery; D018579:Patient Selection; D011183:Postoperative Complications; D013524:Surgical Flaps / Q000098:blood supply