The lower abdominal skin is used in the tram just as in the diep and siea flap. The most common method of autogeneous tissue reconstruction is the pedicled transverse rectus abdominus myocutaneous tram flap.
In this approach the entire rectus abdominus muscle is used to carry the lower abdominal skin and fat up to the chest wall.
Tram flap. Overall tram flaps are the most commonly performed type of flap reconstruction partly because tram flap tissue is very similar to breast tissue and makes a good substitute. The tram flap breast reconstruction procedure uses skin fat and muscle from your abdomen a k a. One of the benefits of a tram flap breast reconstruction is that the breast s can be reconstructed without needing implants.
A tram flap breast reconstruction procedure involves moving a small amount of the patient s abdominal tissue including fat and muscle to the chest where it can then be used to rebuild the breast mound. The flap to create a new breast mound after a mastectomy this procedure takes its name from the portion of the transverse rectus abdominus myocutaneous or tram muscle that s used to give the attached tissue and fat an adequate blood supply. Overall tram flaps are the most commonly performed type of flap reconstruction partly because tram flap tissue is very similar to breast tissue and makes a good substitute.
Transverse rectus abdominus myocutaneous tram flap breast reconstruction involves rebuilding a breast shape by moving skin fatty tissue and part of the rectus abdominus muscle from the abdomen stomach to the chest. After the flap is removed the abdominal skin and fat is undermined above the rectus sheath to the costal margin green arrows and line to allow closure of the donor defect. In tram flap surgery the tissue remains attached to its original site retaining its blood supply.
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. A flap of this skin fat and all or part of the underlying rectus abdominus 6 pack muscle are used to reconstruct the breast in a tram flap procedure. The flap consisting of the skin fat and muscle with its blood supply is tunneled beneath the skin to the chest creating a pocket for an implant or in some cases creating the breast mound itself.
A flap of this skin fat and all or part of the underlying rectus abdominus 6 pack muscle are used to reconstruct the breast in a tram flap procedure. 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 abdomen and transplanted to the breast site.