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Free and Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flap in Breast Reconstruction

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Breast Reconstruction

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Abstract

There are several breast reconstruction techniques. Each one has specific advantages and disadvantages. The transverse rectus abdominis muscle (TRAM) flap was first described as a free flap by Holmstrom (Scand J Plast Reconstr Surg 13:423–427, 1979). Use of this flap gained popularity as a pedicled flap described by Hartrampf et al. (Plast Reconstr Surg 69:216–225, 1982). TRAM flap allows for the transposition of a considerable volume of autologous tissue suitable for reconstruction of the breast and satisfactory aesthetic results in the donor area. Among the disadvantages of this technique are complications, such as the partial necrosis of the flap, fat necrosis, and weakening of the abdominal wall due to impairment of the rectus abdominis muscle that accompanies the flap.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Hospital Universitario Gaffree e Guinle, Rio de Janeiro, Brazil

    Leo Lara Espinoza, Rafael Garrido Costa & Flavio Marques de Carvalho

  2. Division of Plastic and Reconstructive Surgery, Universidade Federal do Rio de Janeiro (UNIRIO) Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Hospital Casa de Portugal, Rio de Janeiro, Brazil

    Ricardo Cavalcanti Ribeiro

  3. Division of Plastic and Constructive Surgery, Hospital Universitario Gaffree e Guinle, Rio de Janeiro, Brazil

    Luis Fernandez de Cordova

Authors
  1. Leo Lara Espinoza
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  2. Ricardo Cavalcanti Ribeiro
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  3. Rafael Garrido Costa
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  4. Luis Fernandez de Cordova
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  5. Flavio Marques de Carvalho
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Corresponding author

Correspondence to Ricardo Cavalcanti Ribeiro .

Editor information

Editors and Affiliations

  1. Hospital Italiano de Buenos Aires, Capital Federal, Buenos Aires, Argentina

    Horacio F. Mayer

Electronic Supplementary Material

Flap harvest and preparation of recipient vessels (MP4 180747 kb)

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Lara Espinoza, L., Cavalcanti Ribeiro, R., Garrido Costa, R., Fernandez de Cordova, L., Marques de Carvalho, F. (2020). Free and Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flap in Breast Reconstruction. In: Mayer, H. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-34603-4_16

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  • DOI: https://doi.org/10.1007/978-3-030-34603-4_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-34602-7

  • Online ISBN: 978-3-030-34603-4

  • eBook Packages: MedicineMedicine (R0)

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