title: Immediate simultaneous bilateral breast reconstruction with deep inferior epigastric (DIEP) free flap and transverse rectus abdominis musculocutaneous (TRAM) pedicled flap.
abstract: Breast reconstructive surgery has evolved tremendously since its inception. Following tumour clearance surgery, physical restoration with breast reconstruction is an important aspect of physical and emotional rehabilitation. Various methods have been described to suit patients demand for the best aesthetic outcome. Surgeon's preference, experience and practicality of differing procedures must be considered. We describe a simultaneous bilateral breast reconstruction with free deep inferior epigastric (DIEP) flap and pedicled transverse rectus abdominis musculocutaneous (TRAM) flap immediately post mastectomies for bilateral breast cancers. The surgery described has resulted in a reasonable technical ease, acceptable flap and abdominal morbidity and good aesthetic outcome.
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, 56000 Cheras, Kuala Lumpur, Malaysia. farrahhani@gmail.com.
authors.forename: E J
authors.initials: EJ
authors.lastname: Roslan
authors.affiliation: Royal College of Surgeons in Ireland, Ireland.
authors.forename: E G
authors.initials: EG
authors.lastname: Kelly
authors.affiliation: Hospital Kuala Lumpur, Department of Plastic and Reconstructive Surgery, Kuala Lumpur, Malaysia.
authors.forename: M A
authors.initials: MA
authors.lastname: Zain
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Plastics and Reconstructive Unit, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: N H
authors.initials: NH
authors.lastname: Basiron
authors.affiliation: University College Dublin, School of Medicine & Medical Science, Dublin, Ireland.
authors.forename: F H
authors.initials: FH
authors.lastname: Imran
mesh_terms: D000009:Abdominal Muscles / Q000637:transplantation*; D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery; D019074:Epigastric Arteries; D005260:Female; D058752:Free Tissue Flaps / Q000601:surgery*; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D017568:Rectus Abdominis / Q000637:transplantation*; D013524:Surgical Flaps / Q000601:surgery*