BACKGROUND Current teaching suggests increased perfusion in free transverse rectus abdominis myocutaneous (TRAM) flaps over pedicled TRAM flaps, broadening indications for its use in high risk patients. This study compared perfusion analysis of free muscle-sparing versus pedicle TRAM flaps in vivo in the peri-operative and late post-operative periods. METHODS The SPY-Elite system using...

The pedicled anterolateral thigh (ALT) flap based on septocutanous or musculocutanous perforators of the lateral circumflex femoral system is a reliable flap. The use of ALT flap as a pedicled flap is relatively unpopular if compared with its use as a free flap. The flap can be raised as a fasciocutaneous or muscle flap or myocutaneous flap. The pedicled flap has got a lengthy pedicle with a li...

UNLABELLED Breast reconstruction after mastectomy is primarily carried out to improve the patients' quality of life. The most commonly used autologous tissue for reconstruction is the transverse rectus abdominis musculocutaneous flap (TRAM). The TRAM flap could be transferred either as pedicled or a free flap with microvascular anastomosis. The following work was carried out to evaluate the two...

Background: The tensor fascia lata is a versatile flap with many uses in reconstructive plastic surgery. As a pedicled flap, its reach to the lower abdomen and groinmade it an attractive option for reconstructing soft tissue defects after tumour ablation. We present two cases with challenging anatomical reconstruction after tumour ablation using pedicled TFL flap. A pedicled tensor fascia lata ...

reconstruction of breast with transverse rectus abdominis myocutaneous (tram) flap is the standard for reconstruction of breast following mastectomy. in this article, authors report their experience with pedicled tram flap reconstruction of the breast. records for the patients who had undergone breast reconstruction with pedicled tram flap were retrieved. records of outpatient follow-ups were a...

due to an adenocarcinoma of the right upper lobe with infiltration of the main bronchus a 49-years-old female patient underwent an upper bilobectomy with sleeve resection. after two completed chemotherapy bouts and signs of sepsis another thoracotomy was inevitable.  as a complicating factor a supracarinal, necrotic and perforating lesion of the trachea appeared. the defect can be initially rep...

background current teaching suggests increased perfusion in free transverse rectus abdominis myocutaneous (tram) flaps over pedicled tram flaps, broadening indications for its use in high risk patients. this study compared perfusion analysis of free muscle-sparing versus pedicle tram flaps in vivo in the peri-operative and late post-operative periods. methods the spy-elite system using indocyan...

BACKGROUND The purpose of this study was to compare patient satisfaction following unilateral pedicled transverse rectus abdominis myocutaneous (TRAM) and free abdominal flap reconstruction. METHODS Patients who underwent unilateral breast reconstruction using pedicled TRAM or free abdominal flaps (muscle-sparing TRAM or deep inferior epigastric perforator flap) and completed the BREAST-Q wer...

Breast reconstruction with a pedicled transverse rectus abdominis muscle (TRAM) flap can result in significant abdominal wall donor-site morbidity. Although the pedicled TRAM flap donor area reinforced with mesh results in decreased rates of postoperative abdominal bulging and hernias, the best technique to accomplish that is yet to be elucidated. We present our novel technique of posterior com...

OBJECTIVES Defects after endoscopic expanded endonasal approaches (EEA) to the skull base, have exposed limitations of traditional reconstructive techniques. The ability to adequately reconstruct these defects has lagged behind the ability to approach/resect lesions at the skull base. The posteriorly pedicled nasoseptal flap is our primary reconstructive option; however, prior surgery or tumors...