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 v2

Journal CME Article: A Safe and Efficient Technique for Pedicled TRAM Flap Breast Reconstruction v2

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The procedure begins with elevating the superior flap by dissecting down to the pectoralis major muscle, following preoperative markings. The flap's lower edge is about 1 cm above the inframammary fold. The pocket extends medially to the sternal border and laterally across the entire breast width. A tunnel for the TRAM flap is initiated medially at the inframammary fold at the subcutaneous level, ensuring careful dissection without penetrating the fascia. This preparation establishes the recipient site for the flap in breast reconstruction surgery.

Keywords

superior flap

pectoralis major

inframammary fold

sternal border

tram flap

superior flap elevation

pectoralis major dissection

TRAM flap tunnel

breast reconstruction pocket