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

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The procedure involves making an upper transverse incision down to the fascia with beveling to increase lateral flap volume. The upper flap is developed to the costal margin, and the tunnel is extended to connect with the mastectomy site. This tunnel must be wide enough to allow passage of the flap with the muscle attached, avoiding damage from shearing forces. Finally, the upper flap is pulled downward over the existing flap to assess the necessary inferior movement for closure.

Keywords

lower transverse incision

umbilicus

rectus sheath

perforators

inferior epigastric artery

upper transverse incision

beveling

lateral flap volume

costal margin

mastectomy site