BREAST RECONSTRUCTION WITH A PEDICLED TRAM FLAP

Breast reconstruction with the pedicled transverse rectus abdominis my ocutaneous (TRAM) flap remains a useful option for most patients seeki ng autogenous tissue reconstruction. This article emphasizes aesthetic analysis of the opposite breast and tissue requirements as important determinants of the preoperative reconstructive plan and guides for sp ecific procedure selection (unipedicle versus bipedicle). This article succinctly reviews tee techniques and tips for flap elevation and ins et, designed to produce consistent aesthetic outcomes with pedicled TR AM flap breast reconstruction.