THE DELAYED TRAM FLAP FOR BREAST RECONSTRUCTION: WHY, WHEN, AND HOW G. IAN TAYLOR, AO, MD Although the free transverse rectus abdominis musculocutaneous (TRAM) flap provides for excellent breast reconstruction, it is not available to all surgeons for many reasons.Cited by: 8.
TRAM Flap. The most common method of autogeneous tissue reconstruction is the pedicled transverse rectus abdominus myocutaneous (TRAM) flap. In this approach, the entire rectus abdominus muscle is used to carry the lower abdominal skin and fat up to the chest wall.
Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap (Transverse Rectus Abdominis Myocutaneous flap) or its technically distinct variants of microvascular "perforator flaps" like the DIEP/SIEA flaps. In a TRAM procedure, a portion of the abdomen tissue group, including skin, adipose tissues, minor muscles and connective tissues, is taken from the patient's abdomen and Specialty: plastic surgeon.
Jun 08, 2011 · Delayed breast reconstruction is an option if a plastic surgeon was not involved at the time of a mastectomy. This animated procedure illustrates the process.