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

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Preoperative surface markings should be done with the patient standing to ensure symmetry with the opposite breast. The shape and dimensions from the intact breast are transferred to the mastectomy site to plan the reconstruction. For larger breasts, reduction or mastopexy might be done later. The abdominal flap design begins with marking the upper transverse line just above the umbilicus to include crucial perforators, and the lower line matching the base width of the desired breast mound. A curved vertical line can widen the base, while costal margin markings define the upper flap limits and mastectomy site access.

Keywords

preoperative markings

breast reconstruction

abdominal flap design

symmetry

mastectomy site