Retalho TRAM com dissecção mínima para reconstrução mamária

  title={Retalho TRAM com dissecç{\~a}o m{\'i}nima para reconstruç{\~a}o mam{\'a}ria},
  author={Allysson Antonio RibeiRo and Pinho Pessoa},
  journal={Revista brasileira de cirurgia},
Background: After the TRAM flap for breast reconstruction have been published, become the most popular autologous breast reconstructive procedure, although not free of donor site complications. Methods: Eleven patients underwent to immediately postmastectomy breast reconstruction with TRAM flap and minimal dissection on donor site using quilting suture’s and closed suction drainage were analyzed. The authors had evaluated prospectively the abdominal complications of the donor site. Results… Expand
2 Citations
Comparison of the aesthetic outcomes of breast reconstruction by using ipsilateral or contralateral TRAM flaps
Ipsilateral TRAM flaps allow better preservation of the inframammary fold and cause less xiphoid bulge, however, the overall shape of the breast and the projection of its lower pole were similar between the two groups. Expand


Drains and Seromas in TRAM Flap Breast Reconstruction
This study supports the use of two drains in both the breast (one each beneath the TRAM flap and in the axilla) and abdomen (beneath the abdominoplasty flap) for patients undergoing breast reconstruction using theTRAM flap. Expand
Immediate transverse rectus abdominis musculocutaneous flap reconstruction after mastectomy.
The authors' experience indicates that immediate TRAM breast reconstruction is a safe and viable option for patients seeking reconstruction at the time of mastectomy. Expand
Use of Abdominal Quilting Sutures for Seroma Prevention in TRAM Flap Reconstruction:: A Prospective, Controlled Trial
There was no significant decrease in the incidence of seroma formation with the use of abdominal quilting sutures in this series, and drain output per day decreased, but the time to drain removal was not significantly affected. Expand
Quilting Suture in the Donor Site of the Transverse Rectus Abdominis Musculocutaneous Flap in Breast Reconstruction
The quilting suture in this study reduces the permanence of drains, total volume of tissue fluids upon drain removal, and complication rates. Expand
Breast Reconstruction with a Transverse Abdominal Island Flap
The vascular anatomy of the abdominal wall has been clinically studied in patients undergoing abdominal lipectomy and the anatomy, arc of rotation, and design alternatives of the rectus abdominis flap are shown. Expand
Does Quilting Suture Prevent Seroma in Abdominoplasty?
The quilting suture seems to be an efficient technique with which to prevent seroma formation in abdominoplasty patients who present with abdominal deformity type III/A. Expand
A Systematic Review of Abdominal Wall Function Following Abdominal Flaps for Postmastectomy Breast Reconstruction
A systemic review of the published literature regarding abdominal wall function following breast reconstruction and compare outcomes between pedicle TRAM, freeTRAM, and perforator flap procedures found that most women reported return to their preoperative function without a decrease in their ability to perform activities of daily living. Expand
MOC-PS(SM) CME Article: Breast Reconstruction
This article is structured to outline the care of the patient with the postmastectomy breast deformity and is designed to serve as a reference point for further in-depth study by review of the reference articles presented. Expand
Seroma: how to avoid it and how to treat it.
For more than 5 years, the quilting suture technique has been used to treat pseudobursas and tissue avulsion and after mastectomy to prevent seromas in patients without the occurrence of seroma after abdominoplasty. Expand