TRAM flap surgery is a common reconstruction procedure that uses the lower portion of the abdomen to create a replacement for a breast that has been removed due to a mastectomy. The muscle is taken from under the skin to re-form the breast. Patients typically have a flatter-looking abdomen after this procedure, with a scar located low on the abdomen that goes from hip to hip. This procedure can be used to reconstruct one or both breasts.
It is very important, however, that you have a thorough discussion with your surgeon as to whether or not you are a good candidate for this procedure. If you do not want an implant, then TRAM flap surgery could be appropriate. You need to have enough wall tissue in your lower abdominal area to be able to create one or two breasts, and you should not have previously had any type of abdominal surgery.
You are also probably a good candidate if you had radiation therapy on your chest wall. Whether or not you are having immediate reconstruction following surgery, the chances are good that you would be able to have the TRAM flap surgery.
However, there are several other factors that could preclude you from being able to have this form of surgery. For example, if you have diabetes or you smoke (or you have just recently quit smoking), then you are more than likely not a good candidate. You should also choose another procedure than TRAM flap surgery if you have a body mass index of 30 or more, or if you do not have a sufficient amount of tissue in the lower abdomen. In addition, you should not have this procedure if you have previously had an abdominoplasty, you do not wish to have a scar on your abdomen, or you are unable to go under anesthesia for long periods of time.
There are several factors that you need to take into consideration if you are thinking of having this procedure performed. Your abdominal wall will experience bulging and weakness, and you may also have a hernia. It is also important to note that the procedure itself will take longer than having an implant inserted, as will the recovery. The operation will probably last between five and seven hours and you'll probably be in the hospital for three to five days. You can expect to feel significant tightness and pain in your abdomen for several weeks. It will probably take quite a few months before you are able to return to your normal activities.
Think carefully about all of the advantages and disadvantages before deciding whether or not TRAM flap surgery is right for you. Again, you need to thoroughly explore all of your options with your doctor.
Are you considering TRAM flap surgery? If so, consult with the surgeons at Center for Restorative Breast Surgery. For more information, visit: http://www.breastcenter.com.
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