TRAM Flap Breast Reconstruction
Friday, September 29th, 2006TRAM stands for transverse rectus abdominal muscle. This reconstruction surgery is used in place of placing artificial implants in the chest area after breast cancer surgery. This method is chosen if the patient doesn’t feel comfortable with using a saline or silicone transplant. This is completed in one surgery. There is no need for multiple visits to the doctor to inject fluid into expanders and then have a final surgery to place the implants.
The surgeon takes a portion of skin, tissue, and muscle from the abdomen. He reattaches the material to the chest area with microscopic surgery. After shaping the mound, he has rebuilt the breast. Some women choose to replace their healthy breast so the breasts will be similar in size and shape. The surgery does take many hours to perform, and there is usually a three-to four day stay in the hospital to begin recovery.
There is a danger when you are transplanting tissue from one area of the body to another the transplanted tissue will not survive. Most patients are kept in a special climate controlled room and nurses check every hour to be sure the blood supply is good to the transplanted area. If the blood stopped flowing to the transplant, a patient will need to return to the operating room for corrective surgery. As with any surgery, there is severe pain that goes with this surgery. Also, there is always the chance of infection around the surgery site. Failure of the transplant to take normally will take place in the first 72 hours after surgery.
Tram flap reconstruction leave noticeable scarring. They will fade with time, but there will be scarring at the breast area and from the area where the tissue was taken. Some restored breasts will feel different because of any radiation that was given in that area. Radiation can cause tightness and discoloration in the reconstructed breast.
It’s important to have the support of family, friends, and loved ones when this surgery is done. Physical activities may be limited for a time and you may need to have someone drive you to your follow-up doctor appointments. You will not want to be alone for the first few days following this surgery.
When a patient has TRAM flap reconstruction, the patient will not have any feeling in the breasts that were reconstructed. Some loss of feeling may also incur from the area where the transplanted tissue was taken from. A patient may also lose some abdominal strength where the tissue was removed. Some patients lose very little abdominal control and others may lose more.
Patients can choose to have nipple reconstruction but that is up to the individual. Sometimes nipple reconstruction takes place in another surgical procedure. Many women choose not to go back into the operating room for this part of reconstruction surgery.
If you are concerned about putting a foreign object into your body, you may want to consider the TRAM flap reconstruction. The added benefit to this reconstruction surgery is that it also acts like a mini tummy tuck.
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