Complications and Outcomes in Breast Reconstruction using a Transverse Rectus Abdominis Myocutaneous Flap-Single Surgeon Experience

Yenbutra, P.; Srikirin, C.

Journal of the Medical Association of Thailand 100(Suppl 1): S200-S204

2017


ISSN/ISBN: 0125-2208
PMID: 29927563
Document Number: 14819
Breast cancer is the most common cancer in Thai women. Current treatments of breast cancer aim not only at The aim of this study was to report the complications and outcomes of breast reconstruction with TRAM flap performed by a single surgeon in Rajavithi Hospital. An observational retrospective study review was performed of all women who underwent breast The mean operative time was 4 hours and 45 minutes. Average follow-up time was 2 years. Postoperative complications occurred in 5 patients and included partial fat necrosis (n = 3), partial donor skin necrosis (n = 1), and partial umbilical necrosis (n = 1). There were no total flap losses or incisional hernias. Patients were able to be discharged at an average of 7.45 days and return to normal activities or work at an average of 5 weeks. Two patients developed metastasis, and in these patients the average interval between TRAM flap reconstruction and metastasis was 1 year. The average satisfaction grade was 4 points. TRAM flap reconstruction after mastectomy is an appropriate way to improve the patient's postoperative physical appearance. The results of this study indicated that TRAM flap reconstruction after mastectomy is safe, with an acceptably low number of complications and can be performed by a single surgeon in conjunction with a mastectomy procedure; furthermore, the majority of patients were satisfied with their reconstructed breast.

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