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The Transverse Rectus Abdominis Myocutaneous free-flap, created from the transverse abdominal muscle, is a breast reconstruction flap harvested from the abdomen of the woman. The TRAM flap is composed of skin, adipocyte fat , and the musculus rectus abdominis , which is perfused (irrigated) by the deep inferior epigastric artery and by the deep ...
The TRAM (transverse rectus abdominis myocutaneous) flap or its technically distinct variants of microvascular "perforator flaps" like the DIEP/SIEA flaps are all commonly used. In a TRAM procedure, a portion of the abdominal tissue, which includes skin, subcutaneous fat, minor muscles, and connective tissues, is taken from the patient's ...
Shutter design flap: Cutaneous: Advancement: Forehead excisions Superficial inferior epigastric artery (SIEA) flap: Cutaneous: Free flap: Free flap breast reconstruction: Superior gluteal artery perforator (SGAP) flap: Cutaneous: Free flap: Free flap breast reconstruction: Transverse rectus abdominis myocutaneous (TRAM) flap [5 ...
The pedicle can be removed after a new blood supply has formed. Examples: pectoralis major myocutaneous flap and deltopectoral flap for head and neck defects, and latissimus dorsi flap and traverse rectus abdominal muscle (TRAM) flap for breast reconstruction. [4] Distant flaps are used when the donor site is far from the defect.
He has contributed a number of articles to the anatomic descriptions, clinical applications, and aesthetic refinements of the transverse rectus abdominis myocutaneous (TRAM) [10] and latissimus flap procedures [11] for breast reconstruction, and is an authority on silicone breast implants and ultrasonic liposuction technologies. [12]
However, greater volume defects may require microsurgical reconstructive surgery which may involve the transfer of an island parascapular fasciocutaneous flap or a free flap from the groin, rectus abdominis muscle (Transverse Rectus Abdominis Myocutaneous or "TRAM" flap) or latissimus dorsi muscle to the face.
An example of "free flap" could be a "free toe transfer" in which the great toe or the second toe is transferred to the hand to reconstruct a thumb. [1] For all "free flaps", the blood supply is reconstituted using microsurgical techniques to reconnect the artery (brings blood into the flap) and vein (allows blood to flow out of the flap).
Maylard incision is a surgical incision in which a transverse cut is made on rectus abdominis muscle to allow wider access to the pelvic cavity. It is also called Mackenrodt incision. For gynaecological surgery, the skin incision is made 5–8 cm above the pubic symphysis.