Although the inspiring women who struggle against and overcome breast cancer are all on a similar journey, no two are ever on exactly the same path, which is one of the reasons why there are so many different approaches to breast reconstruction surgery. Some utilize silicone or saline breast implants, like those used during breast augmentation , while others rely on the manipulation of the patient's own tissue. Originally developed in the 's by Dr. Carl R. Hartrampf, a TRAM flap procedure involves moving a small amount of the patient's abdominal tissue, including fat and muscle, to the chest, where it can then be used to rebuild the breast mound.
Drains placed in the breast and donor area of the abdomen stay in place for two to three weeks while the patient recovers at home, and are taken out during an office visit. Such high-risk reconstructlon Tramflap breast reconstruction smokers, the obese, patients with significant medical comorbidities, and patients with prior abdominal surgery. Sbitany H. O'Halloran N, et Tramflap breast reconstruction. You may also choose to perform breast self-exams on your natural breast and the skin and surrounding area of your reconstructed breast. Breast reconstruction. The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.
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The TRAM flap can be used for breast reconstruction after or with a double mastectomy as well. Reattaching Teen modfls vessels requires expertise in surgery through a microscope microsurgery. Get honest information, the latest research, and support for you or a loved one with breast cancer right to your inbox. Have Tramflap breast reconstruction question about this procedure? 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. Women have a wide variety of options in breast reconstruction, and a TRAM flap approach, Tramflap breast reconstruction highly effective, is not necessarily the best choice for all patients. The TRAM flap can be used for reconstructing one or Tramflap breast reconstruction breasts. Find Research Faculty Enter the last name, specialty or keyword for your search below. You will not be awake Tramflap breast reconstruction your mastectomy or reconstruction, so you will have intravenous sedation or general anesthesia. During a TRAM flap breast reconstruction, skin, fat, and muscle will be moved from the area between your belly button and pubic bone to create a new breast mound. And because the breast is your own tissue, it may feel less foreign than an implant. This oval-like shape will become the donor site for your reconstructed breast. In this case, you must have enough abdominal tissue for two breasts. JAMA Surg.
- Breast reconstruction is the rebuilding of a breast , usually in women.
- Although the inspiring women who struggle against and overcome breast cancer are all on a similar journey, no two are ever on exactly the same path, which is one of the reasons why there are so many different approaches to breast reconstruction surgery.
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- TRAM stands for transverse rectus abdominis, a muscle in your lower abdomen between your waist and your pubic bone.
In TRAM flap surgery, the tissue remains attached to its original site, retaining its blood supply. The flap, consisting of the skin, fat, and muscle with its blood supply, is tunneled beneath the skin to the chest, creating a pocket for an implant—or in some cases, creating the breast mound itself. Explore your options for newer procedures for breast reconstruction after cancer treatment.
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The primary part of the procedure can often be carried out immediately following the mastectomy. How to Get a Second Opinion on Surgery. There is little evidence available from randomised studies to favour immediate or delayed reconstruction. In addition, don't plan to go right back to work outside the home or otherwise. This can also mean your abdominal muscles may not be as strong as before the surgery.
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Breast reconstruction with flap surgery - Mayo Clinic
Phone: Email: MGHplasticsurgery partners. Parking is available in the Parkman St. If you have a mastectomy to treat or prevent cancer, breast reconstruction can surgically recreate a natural-looking breast. One option for breast reconstruction is a transverse rectus abdominus myocutaneous TRAM flap procedure. In a TRAM flap, the surgeon first removes muscle, fat and skin from the lower abdomen. If you lack sufficient abdominal tissue, areas such as the back, buttocks or thigh may be used instead.
The tissue, or "flap," is then transferred to the mastectomy area, where it is shaped to form a new breast. A TRAM flap can be performed at the time of your mastectomy immediate reconstruction or at a later date delayed reconstruction for one or both breasts.
This procedure produces a breast that feels natural and a slimmer, and a flatter abdomen as is seen in a tummy tuck. Please note: A TRAM flap leaves a scar that extends along the lower abdomen, from one hip to the other. As a result, the recovery period may be longer than with breast construction with implants or tissue expanders.
All forms of breast reconstruction after mastectomy have inherent risks, which will be fully discussed during your consultation. The Division of Plastic and Reconstructive Surgery is home to Harvard-affiliated plastic surgeons who have pioneered many plastic surgery techniques and are members of major academic and medical societies. In transverse rectus abdominus myocutaneous TRAM flap breast reconstruction, the Division of Plastic and Reconstructive Surgery's surgeons use tissue from the lower abdomen to create a new breast after mastectomy.
Explore This Procedure. About the Procedure If you have a mastectomy to treat or prevent cancer, breast reconstruction can surgically recreate a natural-looking breast. Free flap: The tissue is removed from its blood supply and brought up to the breast pocket, where blood flow is restored by reconnecting the artery and vein using microsurgery. The flap is connected to the blood vessels under the arm, or under the breast bone.
Pedicle flap: The blood vessels of the transferred tissue remain attached as the flap is tunneled under the skin of the upper abdomen into the breast pocket Qualities of Candidates You may be a good candidate for TRAM flap reconstruction if you: Are not a candidate for implant reconstruction Have had failed reconstruction using a breast implant Have had radiation administered to your chest wall Have sufficient tissues in your lower abdomen to create one or both breasts Have never had surgery on your abdomen Prefer to reconstruct one or both breasts using your own tissue You may not be a good candidate for TRAM flap reconstruction if you: Are obese Cannot tolerate prolonged general anesthesia Do not want a lower abdominal scar Have an overly large abdominal pannus hanging flap of tissue Have diabetes Have had abdominal surgery e.
Our Doctors The Division of Plastic and Reconstructive Surgery is home to Harvard-affiliated plastic surgeons who have pioneered many plastic surgery techniques and are members of major academic and medical societies. Meet the team.