TRAM flap
Pronunciation: TRAM flap
Also written as: TRAM — Transverse Rectus Abdominis Myocutaneous
Transverse Rectus Abdominis Myocutaneous flap used in breast reconstruction.
Full Definition
The TRAM flap utilizes skin, fat, and rectus abdominis muscle from the lower abdomen for breast reconstruction. Available as either pedicled (maintaining original blood supply) or free (requiring microvascular anastomosis) variants, this technique provides autologous tissue reconstruction with good aesthetic outcomes. However, the inclusion of muscle may result in abdominal wall weakness or hernia formation. This method has largely been superseded by muscle-sparing techniques like DIEP flaps in many centers.
Usage
Usage note: Specify whether pedicled or free TRAM flap in surgical documentation.
In Context
- "Free TRAM flap reconstruction provided excellent volume match for the contralateral breast." — Post-operative assessment
- "The patient declined TRAM flap reconstruction due to concerns about abdominal weakness." — Consultation documentation