Pedicled tram flap anatomy of the spine

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images 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.

  • Unipedicled Tram Breast Reconstruction StatPearls NCBI Bookshelf
  • Breast reconstruction with flap surgery Mayo Clinic
  • What is the TRAM flap breast reconstruction technique ASPS
  • The Transverse Rectus Myocutaneous (TRAM) Flap
  • TRAM flap reconstruction Michigan Medicine

  • 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?

    images pedicled tram flap anatomy of the spine
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    By beginning the elevation laterally and then focusing medially, the elevation is simpler.

    What is the TRAM flap breast reconstruction technique ASPS

    The TRAM flap can be transferred as a free flap or a pedicled flap. Breast reconstruction is a surgical procedure that restores shape to your breast after a mastectomy — surgery that removes your breast to treat or prevent breast cancer.

    Accessed Nov. Five to 7 centimeters can be obtained easily. An advantage to this type of breast reconstruction is that you'll retain more strength in your abdomen.

    Find out what to expect if you're considering breast reconstruction.

    images pedicled tram flap anatomy of the spine

    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.

    images pedicled tram flap anatomy of the spine

    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.

    Patient Safety View Patient Safety.

    TRAM flap reconstruction Michigan Medicine

    images pedicled tram flap anatomy of the spine
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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.

    4 thoughts on “Pedicled tram flap anatomy of the spine”

    1. Surgery to remove your healthy breast contralateral prophylactic mastectomy can double the risk of surgical complications, such as bleeding and infection. For a muscle-sparing free TRAM flap, your surgeon takes only a portion of your rectus abdominis muscle, which may help you retain abdominal strength after surgery.

    2. Create an account on our website to ask a question and have an ASPS member surgeon answer! This allows the surgical team to closely monitor blood flow to the newly constructed breast, ensuring that the flap is healthy.