Initial experience with breast reconstruction using the transverse rectus abdominis myocutaneous nap: a study of 45 patients

Breast conserving surgery for breast cancer has led to an increased interes t in reconstruction following mastectomy. The transverse rectus abdominis m yocutaneous flap has been proven to give good results in terms of restorati on of body symmetry with near normal contour and consistency. Furthermore, immediate reconstruction has the advantage of a single procedure with less psychological morbidity, and reduction in hospital stay and overall complic ation rate. The aim of this study was to review our experience with the tra nsverse rectus abdominis myocutaneous flap procedure an initial series of 4 5 patients. The overall complication rate of 27% is similar to that reporte d in the literature, with no total flap loss and nine patients with partial flap loss. There was no delay in commencement of adjuvant chemotherapy or radiotherapy and we believe our ability to detect local recurrence has not been compromised. We consider that immediate breast reconstruction is now a n integral part of the surgical treatment of breast cancer.