In this case, the recurrent tumor was excised with wide local margin, and the pectoralis major muscle was removed en block, followed by immediate reconstruction with TRAM flap
. Local recurrence after mastectomy rarely presents as isolated skin lesion in a form of erythematous rash with no palpable mass.
The overall incidence of complications in the study was minimal, and there were few minor complications like seroma, wound infection, and partial umbilical necrosis after TRAM flap
in one case each.
Abdominal wall strength, bulging, and hernia after TRAM flap
Complications of TRAM flap
include abdominal wall laxity and weakness, fat necrosis, flap necrosis, bulging of inframedial breast fold, pulmonary embolus, and seroma (6).
The deep inferior epigastric perforator (DIEP) flap is a form of TRAM flap
Immediate breast reconstruction: why the free TRAM over the conventional TRAM flap
? Plast Reconstr Surg.
Quality of life, patients'satisfaction and aesthetic outcome after pedicle or free TRAM flap
The procedure is a variation of the most commonly performed breast reconstruction surgery method, the TRAM flap
, in which muscle, tissue and fat are removed from the transverse rectus abdominis muscle (TRAM) in the lower abdomen.
It was decided that the best course of action would be to carry out an operation involving a tram flap
- breast removal and reconstruction using tissue from the stomach.
It is important to note that the TRAM flap
operation can be done only once.
Mrs Price, aged 41, from Woodgate Valley, had a mastectomy at the hospital in 1986 and was told two years later she could undergo reconstruction surgery using the so-called TRAM flap
procedure where excess skin, muscle and fat from her stomach wouldbe u sed to rebuild her breast.
The operation Terry was persuaded to have was called a TRAM flap