This article focuses primarily on the unilateral, ipsilateral pedicled
TRAM flap. Although the bilateral pedicled TRAM flap may be a reasonable
option in some cases, they have been shown to have a significant impact on
abdominal wall strength and integrity. Other types of autogenous flaps using
the same lower abdominal tissue, such as a free muscle-sparing TRAM or a
deep inferior epigastric flap, can be performed as a bilateral procedure with
less impact on the abdominal wall. Breast reconstruction with a pedicled transverse rectus abdominis flap has persisted for decades as a reliable and safe
form of autologous breast reconstruction leading to a natural and stable breast
shape.
Faculty
Kohn L. Semple, MD; Alex Viezel-Mathieu, MD; Sultan Alshaqsi, MD; Kathleen Armstrong, MD
Plastic and Reconstruction Surgery®Editors:
Editor-in-Chief: Kevin Chung, MD
Co-Editor: Amy Colwell, MD
Section Editors: John Y.S. Kim, MD
Intended Audience
This educational activity is intended for all CME-related persons including plastic surgery practitioners, residents, and other healthcare professionals.
Learning Objectives
After viewing this course, the participant should be able to:
- Understand the indications for a unilateral pedicled transverse rectus abdominis (TRAM) flap-based breast reconstruction.
- Understand the different types and designs of pedicled TRAM flap used in both immediate and delayed breast reconstruction.
- Understand the essential landmarks and relevant anatomy of the pedicled TRAM flap.
- Understand the steps of raising the pedicled TRAM flap, the subcutaneous transfer, and the insetting of the flap on the chest wall.
- Understand the nature of donor-site management and closure of the defect.
- Develop a postoperative plan for continuing care and pain management.
Accreditation
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation
The ASPS designates this enduring material for a maximum of1.0AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosure Policy
The American Society of Plastic Surgeons (ASPS) requires all faculty, authors, planners, reviewers, managers, staff and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.
Disclaimer: All relevant financial relationships for planners, faculty, and others in control of content (either individually or as a group) are reviewed by the ASPS Continuing Education Committee and have been mitigated, if applicable.The following planners/faculty members/reviewers have no relevant financial relationships or affiliations to disclose: Kohn L. Semple, MD; Alex Viezel-Mathieu, MD; Sultan Alshaqsi, MD; Kathleen Armstrong, MD
AMA PRA Category 1 CreditTM:1.0Patient Safety Credit: 0.5
Media:Journal Article, video
Release Date: 6/01/2023
Expiration Date: 6/01/2026
Estimated time to complete this course:1 hour
*Course access ends on course expiration date
Directly provided by the American Society of Plastic Surgeons (ASPS)
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