J Korean Surgery Hand Soc Search

CLOSE


Journal of the Korean Society for Surgery of the Hand 2001;10(1):28-33.
Published online May 31, 2001.
Delayed Breast Reconstruction using Free Transverse Rectus Abdominis Myocutaneous(TRAM) Flap; Comparison with Immediate Breast Reconstruction
Myung Gon Jun, M.D., Hee Chang Ahn, M.D.
유리 횡복직근피판술을 이용한 지연 유방재건술; 즉시 유방재건술과의 비교
전명곤·안희창
Abstract
  The numbers of breast cancer are increasing in Korea and the needs for breast reconstruction are also parallel with cancer frequency. The purpose of the study is to define the different state and condition between the delayed reconstruction and the immediate reconstruction of breasts and to suggest how to get more satisfactory outcome.
  The study included 22 patients who underwent delayed breast reconstruction using transverse rectus abdominis myocutaneous(TRAM) free flap from December, 1990 to January, 2001. Their ages ranged from 28 years to 58 years. We have used internal mammary artery and vein as a recipient vessel in 13 patients because of fibrosis and severe scarring in the axillary region and thoracodorsal artery and vein in 9 patients. When we used internal mammary artery with recipient vessel, we would use contralateral deep inferior epigastric artery with donor vessel. We obtained satisfactory result without any flap loss, and most patients satisfied with shape and volume of reconstructed breast.
  We found that delayed breast reconstruction have some differences compared with immediate breast reconstruction. First, we remove fibrotic and scar tissue as much as possible to achieve satisfactory shape of breast. Second, we plan preoperative design in standing position to obtain symmetrical recreation of inframammary fold. Third, we use internal mammary vessel in many cases with recipient vessel for microvascular anastomosis. Fourth, patients with delayed breast reconstruction feel more satisfaction than patients with immediate breast reconstruction do. Finally, economic burden is much higher in the delayed case than in the immediate case because of no coverage with insurance.
Key Words: Delayed breast reconstruction, Free transverse rectus abdominis myocutaneous (TRAM) flap
 
TOOLS
  • PDF Links PDF Links
  • Full text via DOI   Full text via DOI
  • Download Citation Download Citation
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 917 View
  • 1 Download
Related articles in Arch Hand Microsurg

Chest Wall Reconstruction with a Transverse Rectus Abdominis Musculocutaneous Flap in an Extremely Oversized Heart Transplantation2014 November;23(2)

Long-Term Outcome of Free Rectus Abdominis Musculocutaneous Flap for General Soft-Tissue Reconstruction2015 May;24(1)

Breast Reconstruction with Free Transverse Rectus Abdominis Myocutaneous Flap Complicated by Deep Vein Thrombosis-associated Pulmonary Thrombo-embolism2018 September;23(3)



About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2024 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next