Details

Autor(en) / Beteiligte

• Wagner, D S
• Michelow, B J
• Hartrampf, Jr, C R

Titel

Double-pedicle TRAM flap for unilateral breast reconstruction

Ist Teil von

• Plastic and reconstructive surgery (1963), 1991-12, Vol.88 (6), p.987-997

Ort / Verlag

United States

Erscheinungsjahr

1991

Quelle

MEDLINE

Beschreibungen/Notizen

• Autogenous breast reconstruction with the pedicled TRAM flap has been employed in 500 patients in our series. We have developed and refined indications for use of the single-pedicle TRAM flap and double-pedicle TRAM flap in unilateral breast reconstruction. In our experience with 341 unilateral breast reconstructions, we used a double-pedicle TRAM flap 19 percent of the time; however, in our most recent 50 unilateral modified radical mastectomy reconstructions, the double-pedicle technique has been employed 60 percent of the time. In general, when a TRAM flap is chosen for unilateral reconstruction of a modified radical mastectomy defect, we feel the single-pedicle TRAM flap is the procedure of choice. Carefully selected patients will benefit from the added safety of a double-pedicle TRAM procedure. The indications for the double-pedicle TRAM flap, the technique, and our results are described in detail.