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Breast Reconstruction, Bipedicled TRAM: Multimedia
Updated: Oct 16, 2008
Multimedia
![]() | Media file 1: Blood supply to bipedicle transverse rectus abdominus myocutaneous (TRAM) flap. Note the bilateral superior epigastric blood supply and the shaded area of the TRAM flap to be discarded. |
![]() | Media file 2: Patient 1. This patient has a large breast to match and is not interested in a breast reduction. Note the ample lower abdominal tissues available for reconstruction. |
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References
Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg. Feb 1982;69(2):216-25. [Medline].
Bostwick J. Abdominal flap reconstruction. In: Plastic and Reconstructive Breast Surgery. 2nd ed. St Louis, Mo: Quality Medical Publishing Inc; 2000:981-1146.
Dulin WA, Avila RA, Verheyden CN, et al. Evaluation of abdominal wall strength after TRAM flap surgery. Plast Reconstr Surg. May 2004;113(6):1662-5; discussion 1666-7. [Medline].
Hartrampf CR Jr. The transverse abdominal island flap for breast reconstruction. A 7- year experience. Clin Plast Surg. Oct 1988;15(4):703-16. [Medline].
Lejour M, Dome M. Abdominal wall function after rectus abdominis transfer. Plast Reconstr Surg. Jun 1991;87(6):1054-68. [Medline].
Moon HK, Taylor GI. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg. Nov 1988;82(5):815-32. [Medline].
Ng RL, Youssef A, Kronowitz SJ, et al. Technical variations of the bipedicled TRAM flap in unilateral breast reconstruction: effects of conventional versus microsurgical techniques of pedicle transfer on complications rates. Plast Reconstr Surg. Aug 2004;114(2):374-84; discussion 385-8. [Medline].
Shaw WW, Orringer JS, Ko CY, et al. The spontaneous return of sensibility in breasts reconstructed with autologous tissues. Plast Reconstr Surg. Feb 1997;99(2):394-9. [Medline].
Shestak KC. Bipedicle TRAM flap reconstruction. In: Spear SL, ed. Surgery of the Breast: Principles and Art. 2nd ed. Philadelphia, Pa: Lippincott-Raven; 2006:719-31.
Simon AM, Bouwense CL, McMillan S, et al. Comparison of unipedicled and bipedicled TRAM flap breast reconstructions: assessment of physical function and patient satisfaction. Plast Reconstr Surg. Jan 2004;113(1):136-40. [Medline].
Zienowicz RJ, May JW Jr. Hernia prevention and aesthetic contouring of the abdomen following TRAM flap breast reconstruction by the use of polypropylene mesh. Plast Reconstr Surg. Nov 1995;96(6):1346-50. [Medline].
Further Reading
Keywords
TRAM flap, transverse rectus abdominus myocutaneous flap, breast surgery, breast reconstruction, breast flap, bipedicled, autogenous tissue






Multimedia: Breast Reconstruction, Bipedicled TRAM