European Journal of Plastic Surgery

, Volume 37, Issue 6, pp 353–356 | Cite as

Successive uneventful pregnancies immediately following bilateral TRAM flap harvest

  • Yasushi Mochizuki
  • Akiyoshi Kajikawa
  • Motoi Kato
  • Kazuki Ueda
Case Report
First Online:
Received:
Accepted:
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Abstract

We here report a 37-year-old woman who had two successful pregnancies following a bilateral harvest of transverse rectus abdominis musculocutaneous (TRAM) flap. The abdominal wall was firmly repaired by component separation as well as external oblique fascial patch grafts. Although she had a scar from a cesarean section and the recovery interval between the harvest and the first postreconstructive pregnancy was less than 2 months, each pregnancy and delivery was uneventful. With the popularization and improvement in TRAM breast reconstruction, there may be an increase in the number of pregnancies without physician’s approval. Our case revealed that a large bilateral anterior sheath defect can be firmly repaired to endure immediate pregnancy without using any synthetic material.

Level of Evidence: Level V, risk/prognostic study.

Keywords

Breast reconstruction Rectus abdominis musculocutaneous flap Pregnancy Component separation procedure 
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Notes

Conflict of interest

None

Ethical standards

Patient gave her informed consent prior to her inclusion in the study. Details that might disclose her identity were omitted.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Yasushi Mochizuki
    • 1
  • Akiyoshi Kajikawa
    • 2
  • Motoi Kato
    • 3
  • Kazuki Ueda
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryFukushima Medical UniversityFukushima-shiJapan
  2. 2.Department of Plastic and Reconstructive SurgerySt. Marianna University School of MedicineKanagawaJapan
  3. 3.Department of Plastic and Reconstructive Surgery, School of MedicineOkayama UniversityOkayamaJapan

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