What is the difference between a TRAM flap and DIEP flap?
TRAM flap focuses on using tissue from your abdominal muscles, as well as some soft tissue. DIEP flap spares the abdominal muscle and uses only soft fat tissue and local blood vessels. Each procedure has long recovery times, and similar side effects.
How long does it take to recover from TRAM flap surgery?
It can take about 6 to 8 weeks to recover from TRAM flap reconstruction surgery. Your doctor may recommend that you wear a compression girdle for up to 8 weeks after surgery.
Is a TRAM flap a free flap?
A free transverse rectus abdominis myocutaneous ( TRAM ) flap allows a large block of tissue to be transferred, matching the opposite breast. Patient 2. Postoperative view. The breast envelope has been filled with the free transverse rectus abdominis myocutaneous ( TRAM ) flap .
Is TRAM flap surgery safe?
The free TRAM flap procedure is performed daily and safely by plastic surgeons experienced with microsurgery. Because of the magnitude of the procedure , complications can occur even in the best hands. Possible complications from a free TRAM flap procedure are listed below. Fortunately, major complications are uncommon.
How long does breast flap surgery take?
No muscle should be moved or cut in a DIEP flap. The tiny blood vessels in the flap, which will feed the tissue of your new breast, are matched to blood vessels in your chest and carefully reattached under a microscope. DIEP flap reconstruction surgery takes about 6 to 8 hours .
What does TRAM flap stand for?
Transverse Rectus Abdominis Myocutaneous
What is a muscle flap surgery?
Flap surgery involves transporting healthy, live tissue from one location of the body to another – often to areas that have lost skin, fat, muscle movement, and/or skeletal support. This type of flap is often used to rebuild a breast following a mastectomy.
What type of breast reconstruction is best?
Implant and flap surgery are the two major types of breast reconstruction. Flaps make use of a woman’s own tissue to reconstruct the breast. Flaps offer a larger, softer breast. The best candidates for implants tend to be smaller, thinner women.
How painful is DIEP flap surgery?
Although the DIEP flap procedure is more invasive and requires a longer surgery than traditional (subpectoral) tissue expander/implant reconstruction , DIEP flap patients experience less pain for a couple of reasons: Minimal muscle trauma.
What is a free flap surgery?
“ Free flap ,” also known as “ free tissue transfer,” is a term for a procedure in which tissue and its blood supply (artery and vein) are surgically removed from one part of the body and transferred to another area of the body for the purpose of reconstruction .
What do you wear after DIEP flap surgery?
Arranging Clothes It’s not any different after DIEP flap surgery . You won’t want to reach up high in your closet for shirts and pants. Have comfortable button up shirts and pull on pants easy to get to in your closet. Have a few soft, cotton cami’s to wear under, YES, under you bra.
What is better DIEP flap or implants?
In general, the studies found better quality of life and breast satisfaction with flap procedures, however, they also found that rates of complications were higher with flap procedures than with implants .
How does flap surgery work?
A flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease. A gum specialist (periodontist) or an oral surgeon often performs the procedure . Before the procedure , you will be given a local anesthetic to numb the area where the doctor will work on your gums.
Why is flap surgery done?
A flap procedure is often needed to save teeth that are supported by a bone damaged by gum disease. Gum disease usually will come back if you do not brush and floss regularly after surgery . To promote healing, stop all use of tobacco.
Can belly fat be used for breast reconstruction?
Taking just skin and fat from the abdomen (DIEP reconstruction ) But the surgeon only takes skin and fat from the abdomen to make the breast shape. They leave the abdominal muscle in place as they remove the skin and fat along with the blood vessel that keeps the tissue alive.