TRAM flap
Also written as: TRAM — Transverse Rectus Abdominis Myocutaneous
Reconstructive surgery technique using transverse rectus abdominis muscle to rebuild breast tissue.
Full Definition
TRAM flap (Transverse Rectus Abdominis Myocutaneous flap) is a reconstructive surgical technique primarily used in breast reconstruction following mastectomy. The procedure uses tissue from the lower abdomen, including skin, fat, and rectus abdominis muscle, to create a new breast mound. The flap can be performed as a pedicled flap (maintaining original blood supply) or as a free flap (requiring microsurgical reconnection of blood vessels). This technique provides the dual benefit of breast reconstruction while creating an abdominoplasty-like result in the donor area. The procedure requires careful patient selection and consideration of abdominal wall integrity post-surgery.
Usage
Usage note: Distinguish from DIEP flap, which spares the rectus abdominis muscle.
In Context
- "The TRAM flap reconstruction provided excellent volume and contour matching to the contralateral breast." — Surgical outcome report
- "Patient counseling for TRAM flap surgery must include discussion of potential abdominal wall weakness." — Informed consent documentation