Simultaneous Bilateral Breast Reconstruction With the Transverse Rectus Abdominus Musculocutaneous Free Flap

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Immediate simultaneous bilateral breast reconstruction with deep inferior epigastric (DIEP) free flap and transverse rectus abdominis musculocutaneous (TRAM) pedicled flap.

Breast reconstructive surgery has evolved tremendously since its inception. Following tumour clearance surgery, physical restoration with breast reconstruction is an important aspect of physical and emotional rehabilitation. Various methods have been described to suit patients demand for the best aesthetic outcome. Surgeon's preference, experience and practicality of differing procedures must b...

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Laparoscopic Transverse Rectus Abdominus Flap Delay for Autogenous Breast Reconstruction

Laparoscopic ligation of the deep and superficial inferior epigastric vessels was done for ten mastectomized patients who elected to have autogenous reconstruction of their breast. All these patients had at least one indication for the delay which included obesity, smoking, or requirement of a large volume of tissue for their reconstruction. The procedure did not add any morbidity or mortality ...

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Initial experience with laparoscopic inferior epigastric vessel ligation for delayed transverse rectus abdominus musculocutaneous flap breast reconstruction.

HYPOTHESIS Transverse rectus abdominus musculocutaneous (TRAM) flap breast reconstruction provides excellent cosmetic results. Pedicle flap viability is greatly enhanced by prereconstruction inferior epigastric vessel ligation, which encourages collateral arterial flow (delayed TRAM). We report our initial experience with laparoscopic inferior epigastric vessel ligation. DESIGN Prospective ca...

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Outcome analysis of breast reconstruction with free transverse rectus abdominis musculocutaneous (TRAM) flaps.

QUESTIONS UNDER STUDY With the reduction in breast cancer mortality in recent years the aesthetic outcome after treatment has gained increasing attention. The aim of this study was to assess the outcome quality of our single institution concept of free TRAM flap breast reconstruction with the aim of providing data to assist the patient's decision-making when breast reconstruction is an option. ...

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Recovery after transverse rectus abdominis myocutaneous flap breast reconstruction surgery.

PURPOSE/OBJECTIVES To assess pain and activity limitations and to determine realistic goals for recovery after a transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction in a standard rehabilitation and recovery program. Assessing patient satisfaction with educational information is a secondary objective. DESIGN Before and after comparison. SETTING A National Cancer Instit...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1997

ISSN: 0003-4932

DOI: 10.1097/00000658-199707000-00004