Document Detail

Secondary use of the rectus muscle pedicle for TRAM flap volume deficiencies.
MedLine Citation:
PMID:  9555986     Owner:  NLM     Status:  MEDLINE    
The residual subxiphoid rectus muscle pedicle was rotated secondarily to a position underneath the breast mound in 13 patients who had previously undergone transverse rectus abdominis musculocutaneous (TRAM) flap breast reconstruction. The indications for this maneuver were the presence of a subxiphoid muscle bulge and a deficiency of volume or projection of the TRAM flap breast mound. This revisional surgery was performed at least 8 weeks after the TRAM flap, typically at the time of nipple-areolar reconstruction. Minor to moderate volume deficiencies were corrected and aesthetic improvement was substantial. There were no major complications. The danger of vascular compromise to the breast mound itself or to the remobilized muscle appears to be minimal, although the need for caution in the previously irradiated chest wall should be emphasized.
R J Restifo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  40     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-06-11     Completed Date:  1998-06-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  343-8     Citation Subset:  IM    
Yale University School of Medicine, New Haven, CT 06510, USA.
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MeSH Terms
Breast Neoplasms / radiotherapy,  surgery
Middle Aged
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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