A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction | Journal Article CME-Journal Article CME: A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction v3

Journal Article CME: A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction v3

Video Transcription

Video Summary

The procedure involves creating a lower transverse incision and freeing the umbilicus. The flap is raised from lateral to medial, mapping perforators onto the flap. The contralateral flap is raised similarly, respecting the rectus sheath's location and perforators. The rectus sheath incision begins at the muscle's lateral border, extending beyond the arcuate line, while retaining some anterior sheath laterally to protect nerve supply. Emphasis is now placed on preserving muscle tissue as much as possible. The inferior epigastric artery and vein are identified on the lower rectus muscle, with variability in their anatomical positioning.

Keywords

lower transverse incision

umbilicus

rectus sheath

perforators

inferior epigastric artery