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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In this procedure, a lower transverse incision is made, and the umbilicus is released from the flap. The contralateral and ipsilateral portions of the flap are raised, mapping the perforators as they are encountered. The lateral and medial borders of the rectus muscle are identified, with the incision beginning at the lateral border and extending inferiorly. The goal is to retain as much muscle as possible while preserving the inferior epigastric artery and vein. The dissection aims to protect the segmental nerves and optimize muscle retention within the constraints of anatomical variability.

Keywords

transverse incision

perforator mapping

rectus muscle

inferior epigastric artery

muscle retention