TRAM flap


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TRAM flap

(træm)
n acronym for
(Surgery) transverse rectus abdominis myocutaneous flap: a piece of tissue, consisting of skin, muscle, and fat, taken from the abdomen of a woman and used in the reconstruction of her breast after mastectomy
References in periodicals archive ?
Our patient is a 45-year-old female with a past medical history of T2N1M0 (stage IIb, grade 3), ER positive, PR negative, HER2/NEU positive infiltrating ductal carcinoma of the left breast at the age of 38 treated with left modified radical mastectomy transverse rectus abdominis muscle (TRAM) flap reconstruction, and later with a latissimus flap following the development of a thrombus in the original TRAM flap. Following surgical therapy, she received doxorubicin and cyclophosphamide, followed by paclitaxel and trastuzumab.
"I had three failed implant operations, which all sunk into my chest, then I learnt about a 'tram flap' operation after watching the TV show Embarrassing Bodies." A tram flap involves moving skin, fat, blood vessels, and muscle from the lower abdomen and then reconstructing them to form breasts.
Accordingly, the involved skin was excised with a wide local margin, and the pectoralis major muscle was removed en block, followed by immediate reconstruction with TRAM flap (Figure 2).
Kim, "The effects of botulinum toxin A on survival of rat TRAM flap with vertical midline scar," Annals of Plastic Surgery, vol.
Reconstruction of an extensive thigh defect with the paraumbilical TRAM flap. Annals of Plastic Surgery.2003; 519 (1): 91-96.
Aplasia of the breast"reconstruction using a free tram flap. Acta Chir Plast 2001; 43: 39-41.
Komorowska-Timek et al., "Improvement of skin paddle survival by application of vascular endothelial growth factor in a rat TRAM flap model," Annals of Plastic Surgery, vol.
Immediate breast reconstruction using autologous tissue was performed in more than 90% of cases (TRAM flap in 55% and latissimus dorsi myocutaneous flap in 36% cases), whereas silicone implants were used in 8.8% of cases only.
A TRAM flap procedure uses tissue and muscle from the lower abdomen.
He laid out the options: saline implant, TRAM flap (which uses skin, fat, and muscle from the belly region to construct a breast), or LAT flap (which uses skin, fat, and muscle from the back region to construct a breast).
The other option presented to me was the Tram Flap procedure, which was also unacceptable.
The product can be used in several indications such as paraesophageal/hiatal hernia repair, abdominal wall reconstruction, abdominoperineal resection, stoma reversal and breast reconstruction using pedicled TRAM flap. www.wlgore.com