Application of pedicled transverse rectus abdominis muscle flap in reconstructing the breast immediately after breast cancer operation

VernacularTitle:带蒂横向腹直肌肌皮瓣在乳腺癌术后即刻重建乳房中的应用
Author: Shengchao HUANG ; Pu QIU ; Zongzheng LIANG ; Zeming YAN ; Kangwei LUO ; Baoyi HUANG ; Liyan YU ; Weizhang CHEN ; Jianwen LI ; Yuanqi ZHANG
From: Chinese Journal of Endocrine Surgery 2021;15(2):117-121
CountryChina
Language:Chinese
Abstract: Objective:To investigate the clinical effect of the transverse rectus abdominismuscle (TRAM) on reconstruction of the breast.Methods:The clinical data of 23 patients receiving TRAM breast reconstruction in our department from Jan. 2018 to Dec. 2019 were retrospectively analyzed.Results:The operation time of 23 patients ranged from 240 to 360 mins, andthe average time was about 300 mins. Intraoperative bleeding was about 120 to 200 ml, with an average of 170 ml. All the flaps survived successfully, but 2 cases were complicated with local fat necrosis. The postoperative period was between 6 and 12 months. No local tumor recurrence or metastasis was found inall patients during postoperative follow-up, and the breast shape was maintained in good condition.Conclusion:TRAM can make up for the regret of breast loss caused by breast cancer in female patients. It can bring confidence in life and work to female patients, and the technology is safe and reliable, which is worthy of promotion.