Clinical Experience with Immediate Breast Reconstruction Using Tissue Expansion or Transverse Rectus Abdominis Musculocutaneous Flaps

The purpose of this study was to evaluate the correlation between risk factors and hernia or bulge formation at the donor site of the transverse rectus abdominis myocutaneous (TRAM) flap. A retrospective study was conducted between September 2005 and December 2008 in 206 patients who underwent breast reconstruction with pedicled TRAM flap. Eight (3.9%) of these patients had abdominal wall hernia and 26 (12.6%) had abdominal bulging. The incidence of hernia was significantly higher (P < 0.05) among patients with body mass index (BMI) ≥ 30 kg/m2 (hernia incidence, 15.0%) than that among patients with BMI <30 kg/m2 (hernia incidence, 3.2%), while the incidence of abdominal bulge was significantly lower (P < 0.05) among patients with BMI ≥ 30 kg/m2 (abdominal bulge incidence, 5.0%) than that among patients with BMI ≥ 30 kg/m2 (abdominal bulge incidence, 19.1%). Therefore, obesity was identified as a risk factor for abdominal wall hernia. It was also found that the use of mesh to reinforce the abdominal wall significantly reduced (P < 0.025) the incidence of hernia (use of mesh (hernia incidence, 2.5%) versus non-mesh (hernia incidence, 5.9%)) and abdominal bulge (use of mesh (abdominal bulge incidence, 9.9%) versus non-mesh (abdominal bulge incidence, 17.3%)) among the patients.

show abstract

“…The incidence rate of abdominal bulge was 12.6%, which also falls within the range described in literature (0-13.41%) [22, 25, 26]. …”

Section: Discussionsupporting

confidence: 87%

Factors associated with hernia and bulge formation at the donor site of the pedicled TRAM flap

et al. 2010

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4][5][6][7][8][9][10] For these purposes, free flaps from the lower abdominal wall have proven superiority over most other techniques. [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] In the case of unilateral reconstructions, a common goal is to create a breast that matches the uninvolved side whenever possible.…”

mentioning

confidence: 99%

The Efficacy of Bilateral Lower Abdominal Free Flaps for Unilateral Breast Reconstruction

Beahm

Walton

2007

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…Comparison of the three techniques used in our institute is difficult, and there is very little information about this in the literature [15,17,18,22].…”

Section: Parisonmentioning

confidence: 99%

Comparison of different techniques in personalized post-mastectomy breast reconstruction

et al. 1994

View full text Add to dashboard Cite

Patients undergoing breast reconstruction often ask the plastic surgeon which is the surgical procedure that gives the best results. In order to answer this question, the results of three different techniques of breast reconstruction in 62 cases were compared and evaluated. In 37 cases, the reconstruction was performed by tissue expansion followed by insertion of silicone prostheses (EXP), in 9 cases by a pedicled myocutaneous latissimus dorsi flap with prostheses (LDF), in 16 cases by a microvascular rectus abdominis musculocutaneous flap. Both the subjective (patients' satisfaction and psychological attitude) and the objective data were taken into consideration to evaluate the results. The TRAM results were the best, followed by the EXP technique and then by the LDF technique. The number of immediate and delayed complications was approximately the same using all three techniques, but TRAM is a little safer. Although tissue expansion is the simplest and quickest technique which may be best for some patients, the use of autologous tissue (TRAM) is recommended.

show abstract

Clinical Experience with Immediate Breast Reconstruction Using Tissue Expansion or Transverse Rectus Abdominis Musculocutaneous Flaps

Cited by 48 publications

References 0 publications

Factors associated with hernia and bulge formation at the donor site of the pedicled TRAM flap

Factors associated with hernia and bulge formation at the donor site of the pedicled TRAM flap

The Efficacy of Bilateral Lower Abdominal Free Flaps for Unilateral Breast Reconstruction

Comparison of different techniques in personalized post-mastectomy breast reconstruction

Contact Info

Product

Resources

About