The Free Abdominoplasty Flap and Its Use in Breast Reconstruction: An Experimental Study and Clinical Case Report

Holmström, Hans

doi:10.3109/02844317909013092

Cited by 405 publications

(145 citation statements)

References 4 publications

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“…There were other reports on free flap operations, such as the use of silicone breast implants with the groin flap, the opposite side's latissimus dorsi muscle, and the inferior gluteal artery. Since the report by Holmström 4 in 1979 on the composite musculocutaneous flap called the free abdominoplasty flap, which had the deep inferior epigastric artery as its pedicle, and since the development of delicate operating skills, the free TRAM flap operation by using autologous tissue has become the more popular operation in breast reconstruction. Hartrampf and associates 5 presented excellent results using the conventional TRAM flap.…”

Section: Discussionmentioning

confidence: 99%

Use of Internal Mammary Vessel Perforator as a Recipient Vessel for Free TRAM Breast Reconstruction

Park

Lee

Chung

et al. 2003

Annals of Plastic Surgery

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Breast reconstruction is a cosmetically critical procedure for women and it must be undertaken to balance the shape, size, and position of the breast with the other breast. Since the first introduction of the free abdominoplasty flap in 1979, the transverse rectus abdominis musculocutaneous (TRAM) flap technique has been a widely accepted method of breast reconstruction after mastectomy. In breast reconstruction with a free flap, the selection of suitable recipient vessels is the critical decision to be made by the surgeon. The most common recipient vessel for free flap breast reconstruction is the axillary system. However, when used as a recipient, the axillary system may limit flap movement and flexibility in breast shaping. The use of the internal mammary vessels as a recipient site attains ideal breast symmetry. However, the technique requires partial rib resection and eliminates the opportunity for a potential coronary artery bypass graft, which requires the internal mammary artery. Based on these considerations, the selection of suitable recipient vessels constitutes an important requirement for successful free tissue transfer. The authors have performed breast reconstruction with the TRAM flap anastomosed to the internal mammary perforator vessel and conclude that these perforators could be useful as recipient vessels, especially in the case of immediate breast reconstruction with the free TRAM flap.

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Section: Discussionmentioning

confidence: 99%

Use of Internal Mammary Vessel Perforator as a Recipient Vessel for Free TRAM Breast Reconstruction

Park

Lee

Chung

et al. 2003

Annals of Plastic Surgery

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“…También es de considerar que la autora utilice la técnica de colgajo TRAM pediculado para la reconstrucción mamaria de forma sistemática, cuando en la actualidad esta técnica se está desechando, salvo en casos muy especiales, dadas las complicaciones que pueden originarse en la pared abdominal, tales como hernias y debilidades (2).…”

Section: Dirección Del Autorunclassified

Reconstrucción mamaria con colgajo músculo-cutáneo transverso de recto abdominal (TRAM) y simetrización simultánea

Giachero-Castaño¹,

Jacobo-Bastreri²,

Grattarola-Rizzo³

et al. 2010

Cir. plást. iberolatinoam.

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Palabras clave Reconstrucción mamaria, Colgajo TRAM, Simetrización mamaria. Código numérico 5214-52140-158332En la literatura es escasa la información enfocada al análisis de los resultados de la reconstrucción postmastectomía con simetrización simultánea de la mama contralateral. El objetivo de nuestro trabajo es revisar la experiencia de la Cátedra de Cirugía Plástica y Quemados de la Facultad de Medicina de la Universidad de la República en Montevideo, Uruguay, en reconstrucción de mama con colgajo músculocutá-neo transverso de recto abdominal (TRAM) pediculado y simetrización simultánea mediante mamoplastia contralateral.Evaluamos en forma prospectiva 5 pacientes, con mamas excesivamente grandes o ptósicas. El método de mamoplastia utilizado incluyó pexia o reducción, tanto a pedículo superior como inferior, utilizando siempre un patrón de incisiones en T invertida. El tiempo quirúrgico de la mamoplastia contralateral fue superpuesto al de otras etapas del mismo acto quirúrgico, ya sea a la mastectomía, en los casos en que se realizó reconstrucción simultánea, o a la elevación del colgajo abdominal, cuando la reconstrucción fue diferida.Los resultados se evaluaron a largo plazo, considerando tanto el grado de satisfacción general logrado con el procedimiento, como el grado de satisfacción en cuanto a aspectos estéticos específicos. Constatamos altos índices de satisfacción en las pacientes tratadas. El número de complicaciones no fue mayor al descrito en la literatura para la reconstrucción mamaria sin simetrización. El tiempo de recuperación para desarrollar las actividades habituales fue siempre inferior a 2 meses.Como conclusión, la reconstrucción mamaria con colgajo TRAM y simetrización simultanea mediante plastia de la mama contralateral en un solo tiempo operatorio, es un procedimiento que logra buenos resultados a largo plazo y permite emplear colgajos menos voluminosos, sin aumentar la morbilidad ni el tiempo operatorio y con menor número de cirugías mayores complementarias en diferido.Reconstrucción mamaria con colgajo músculo-cutáneo transverso de recto abdominal (TRAM) y simetrización simultánea Resumen AbstractBreast reconstruction with transverse rectus abdominis miocutaneous (TRAM) flap and simultaneous symmetrization Giachero-Castaño, V.*, Jacobo-Bastreri, O.**, Grattarola-Rizzo, G.***, Carriquiry-Kayel, C.**** Scientific reports analyzing the outcome of postmastectomy with simultaneous symmetrization of the opposite breast are scarce. The purpose of this study is the analysis of the experience with breast reconstruction with the pedicled transverse rectus abdominis myocutaneous (TRAM) flap and simultaneous symmetrization with opposite mammoplasty, at the Cátedra de Cirugía Plástica y Quemados, Facultad de Medicina de la Universidad de la República, Montevideo, Uruguay.A retrospective review was performed on 5 patients. Mammoplasty technique used was either mastopexy or breast reduction, with superior or inferior based pedicle, always with the T-inverted incisions. The contralateral mammoplast...

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“…Since 1979, when Holmström published the first report on the use of the free abdominoplasty flap for breast reconstruction (59), and 1982, when Hartrampf described the use of the pedicled TRAM flap (57), several anatomic studies have been conducted on vascular supply to the abdominal wall (16,17,19,105,188). The rectus abdominis muscle is nourished by the deep superior and inferior epigastric systems.…”

Section: Pedicled and Free Tram Flapmentioning

confidence: 99%

Blood flow in free micro-vascular flaps

Lorenzetti¹,

Salmi²,

Tukiainen³

et al. 1998

Pathophysiology

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The Free Abdominoplasty Flap and Its Use in Breast Reconstruction: An Experimental Study and Clinical Case Report

Cited by 405 publications

References 4 publications

Use of Internal Mammary Vessel Perforator as a Recipient Vessel for Free TRAM Breast Reconstruction

Use of Internal Mammary Vessel Perforator as a Recipient Vessel for Free TRAM Breast Reconstruction

Reconstrucción mamaria con colgajo músculo-cutáneo transverso de recto abdominal (TRAM) y simetrización simultánea

Blood flow in free micro-vascular flaps

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