eMedicine Specialties > Plastic Surgery > Breast
Breast Reconstruction, Unipedicled TRAM: Workup
Updated: May 4, 2007
Workup
Laboratory Studies
- Preoperative laboratory examination is directed by the patient's medical condition. At minimum, obtain CBC count, electrolytes, urinalysis, ECG, and blood type and screen.
Imaging Studies
- Chest radiographs
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References
Bostwick J. Abdominal flap reconstruction. In: Plastic and Reconstructive Breast Surgery. 2nd ed. St. Louis, Mo: Quality Medical Publishing, Inc; 2000:981-1146.
Erdmann D, Sundin BM, Moquin KJ, et al. Delay in unipedicled TRAM flap reconstruction of the breast: a review of 76 consecutive cases. Plast Reconstr Surg. Sep 1 2002;110(3):762-7. [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].
Hudson DA. The surgically delayed unipedicled TRAM flap for breast reconstruction. Ann Plast Surg. Mar 1996;36(3):238-42; discussion 242-5. [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].
Nahabedian MY, Momen B, Galdino G, Manson PN. Breast Reconstruction with the free TRAM or DIEP flap: patient selection, choice of flap, and outcome. Plast Reconstr Surg. Aug 2002;110(2):466-75; discussion 476-7. [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. Technical tips for avoiding complications in TRAM flap breast reconstruction. In: Reoperative Plastic Surgery of the Breast. Philadelphia, Pa: Lippincott Williams and Williams; 2006:302-39.
Slavin SA, Goldwyn RM. The midabdominal rectus abdominis myocutaneous flap: review of 236 flaps. Plast Reconstr Surg. Feb 1988;81(2):189-99. [Medline].
Spear SL, Ducic I, Low M, Cuoco F. The effect of radiation on pedicled TRAM flap breast reconstruction: outcomes and implications. Plast Reconstr Surg. Jan 2005;115(1):84-95. [Medline].
Zenn MR, May JW Jr. TRAM flap reconstruction: the single pedicle, whole muscle technique. In: Spear SL, ed. Surgery of the Breast: Principles and Art. Philadelphia, Pa: Lippincott-Raven Publishers; 2006:732-40.
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
breast reconstruction, transverse rectus abdominis myocutaneous flap, TRAM flap, autogenous tissue reconstruction, unipedicled TRAM flap, mastectomy, foreign body reactions, capsular contractures
Workup: Breast Reconstruction, Unipedicled TRAM