Breast reconstruction with musculocutaneous flap of abdominal rectus with transverse skin Island (Tram): 12 years of experience at hospital el pino

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dc.contributor.authorJosé Luis Román F.
dc.contributor.authorMichel Olivera I.
dc.contributor.authorGely Muñoz B.
dc.date.accessioned2022-06-20T15:54:18Z
dc.date.available2022-06-20T15:54:18Z
dc.date.issued2018-12
dc.descriptionIndexación Scopuses
dc.description.abstractObjectives: To analyze the results of breast reconstruction with musculocutaneous flap of the rectus abdominis with transverse skin island (TRAM) in the Service of Surgery of El Pino Hospital. Materials and Methods: Retrospective study of patients undergoing mastectomy for breast cancer and subsequent reconstruction with pedicled TRAM flap in the last 12 years (2005-2017). Results: 12 mammary reconstructions were performed, 6 were with pedicled TRAM flap. The majority of patients received adjuvant treatment with radiotherapy (1 case), chemotherapy (1 case), chemotherapy + radiotherapy (2 cases). The time elapsed between the mastectomy and breast reconstruction was on average 2.5 years. There were 4 complications (66.7%) that required reintervention: early postoperative hematoma, infection and flap fat necrosis, abdominal suture dehiscence, fat necrosis + TRAM flap fibrosis. The evaluation of the results was subjective, obtaining very good results in 66.7% of the cases. There were no complications in the donor site. Discussion: The pedicled TRAM flap is the most used autologous tissue in breast reconstruction. Its complication rate is 26%, much lower than that obtained in our experience. The main complications are fibrosis and flap fat necrosis, flap loss, seroma and infection, with fat necrosis being the most frequent in our series. The use of TRAM flap gives greater satisfaction with appearance, size and sensation of the breast. Due to the results obtained, we believe that the pedicled TRAM flap is an excellent alternative for breast reconstruction in our hospital. © 2018, Sociedad de Cirujanos de Chile. All rights reserved.es
dc.description.urihttps://www-scielo-cl.recursosbiblioteca.unab.cl/scielo.php?script=sci_arttext&pid=S0718-40262018000600529&lng=en&nrm=iso&tlng=en
dc.identifier.citationRevista Chilena de Cirugia Volume 70, Issue 6, Pages 529 - 534December 2018es
dc.identifier.doi10.4067/s0718-40262018000600529
dc.identifier.issn03793893
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/22907
dc.language.isoeses
dc.publisherSociedad de Cirujanos de Chilees
dc.subjectPerforator Flapes
dc.subjectBreast Reconstructiones
dc.subjectEpigastric Arterieses
dc.subjectMastectomyes
dc.subjectPedicled TRAM flapes
dc.titleBreast reconstruction with musculocutaneous flap of abdominal rectus with transverse skin Island (Tram): 12 years of experience at hospital el pinoes
dc.typeArtículoes
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