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 v4

Journal Article CME: A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction v4

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The procedure involves making a lower transverse incision and releasing the umbilicus from the flap. The contralateral flap is raised from lateral to medial while mapping perforators on the flap. The ipsilateral flap is similarly raised, carefully noting rectus perforator locations. The rectus muscle's width is determined by eliciting a vertical twitch using cautery on the rectus sheath. An incision is made along the lateral border of the rectus muscle from the flap's superior edge downward past the arcuate line. Efforts focus on preserving as much muscle and segmental nerve protection as possible, with attention to the inferior epigastric vessels.

Keywords

transverse incision

perforator mapping

rectus muscle

inferior epigastric artery

muscle retention

lower transverse incision

umbilicus release

contralateral flap

rectus perforators

inferior epigastric vessels