Pedicled tram flap anatomy of the spine
Wearing an elastic bandage or support bra can help keep swelling down and support your breast while it heals. Request an Appointment at Mayo Clinic. The flap is started by elevating from lateral to medial and the search for perforators is begun when the rectus sheath over the muscle is encountered. The DIEA vessels are then traced back to near their origin while retracting the muscle away from the deep abdominal contents. DIEP flap During a deep inferior epigastric perforator DIEP flap procedure, the surgeon removes a section of abdominal skin and fat, along with the associated blood vessels. The fascia is incised medial to the medial perforators.
The blood supply to the pedicled TRAM flap is often less powerful than it is with free flap procedures such as the free TRAM flap, DIEP, and. Breast reconstruction with a transverse rectus abdominis The important anatomy to focus on is the vascular supply to the abdomen and the flap.
the superior border of the umbilicus to each anterior superior iliac spine.
Unipedicled Tram Breast Reconstruction StatPearls NCBI Bookshelf
Blood supply to the unipedicled transverse rectus abdominis myocutaneous ( TRAM) flap. Note the superior epigastric supply and the shaded.
Tissue: A skin, fascia and muscle flap.
A pedicled TRAM flap uses your whole rectus muscle — one of the four major muscles in your abdomen. Originally developed in the 's by Dr.
Breast reconstruction with flap surgery Mayo Clinic
You'll also have stitches sutures after your surgery. Each technique has different advantages and disadvantages. Have a question about this procedure?
Illustration showing a pedicle TRAM flap procedure This surgical technique takes skin, fat and muscle from your upper back, tunneling it under your skin. Blood supply: The deep inferior epigastric artery and venae originating on the external iliac Pedicle length: This depends on muscle entry and the amount of The lower abdominal skin is used in the TRAM, just as in the DIEP and SIEA flap.
The DIEA vessels are then traced back to near their origin while retracting the.
The Transverse Rectus Myocutaneous (TRAM) Flap
A TRAM flap breast reconstruction procedure involves moving a small A pedicled TRAM is usually a less intricate procedure, requiring less and help patients feel as though they are finally taking back control of their lives.
When perforators over the muscle are encountered, the fat dissection is stopped, and the fascia is incised lateral to the perforators. Your body type, health status and cancer treatment factor into which type of reconstruction will give you the best result.
However, the contour of your new breast can usually be restored so that your silhouette looks similar to your silhouette before surgery. Consult a plastic surgeon who's board certified and experienced in breast reconstruction following mastectomy. If you smoke, you may be asked to quit for four to six weeks before your surgery.
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TRAM flap reconstruction Michigan Medicine
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|Once you have decided that breast reconstruction is right for you, you will need to discuss your personal goals and preferences with your surgeon to identify which surgical option would be most successful for your body type and personal goals.
The entire flap is isolated on the DIEA vessel. The tissue for reconstructing your breast most often comes from your abdomen. Nahabedian M. The TRAM flap can be transferred as a free flap or a pedicled flap.
Video: Pedicled tram flap anatomy of the spine Latissimus dorsi free flap
The umbilicus is brought through the abdominal wall after it is stretched to near closure. Using complex microsurgical techniques, the blood vessels are attached to the ones in your chest and the skin and fat are used to create a breast.