A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction | Journal Article CME-Journal CME Article: A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction v1

Journal CME Article: A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction v1

Video Transcription

Video Summary

Preoperative surface markings for breast reconstruction are best done with the patient standing, focusing on achieving symmetry with the opposite breast by transferring its shape and dimensions to the mastectomy site. Large breasts may require reduction or mastopexy later. The abdominal flap design begins with an upper transverse line above the umbilicus to include key blood vessels, while the lower line matches the desired breast base width. A curved vertical line may extend the flap's width. Marking costal margins is crucial to define the flap's upper limits and the subcutaneous tunnel to the mastectomy site.

Keywords

preoperative markings

breast reconstruction

abdominal flap design

symmetry

mastectomy site

preoperative breast markings

breast reconstruction symmetry

costal margin marking

mastectomy site preparation