TRAM flap
Pronunciation: tram flap
Also written as: TRAM — Transverse Rectus Abdominis Myocutaneous
Transverse rectus abdominis myocutaneous flap used in breast reconstruction surgery.
Full Definition
The TRAM (Transverse Rectus Abdominis Myocutaneous) flap is a type of autologous tissue reconstruction that uses skin, fat, and muscle from the patient's lower abdomen to reconstruct the breast following mastectomy. The procedure can be performed as a pedicled flap (maintaining original blood supply) or as a free flap (requiring microsurgical connection of blood vessels). TRAM flap reconstruction provides natural-feeling breast tissue but may result in abdominal wall weakness and requires longer operative time compared to implant-based reconstruction.
Usage
Usage note: Specify whether TRAM flap is pedicled or free flap in surgical documentation.
In Context
- "The patient underwent delayed breast reconstruction using a pedicled TRAM flap with excellent aesthetic results." — surgical outcome report
- "TRAM flap surgery provides natural breast reconstruction but may compromise abdominal wall strength." — patient counseling material