TECHNIQUE FOR TRAM RECONSTRUCTION OF BREAST IN PATIENTS WITH BREAST CANCER

摘要

A technique for TRAM reconstruction of the breast in the patients with breast cancer provides for transposition of the flap comprising skin and subcutaneous fat from the anterior abdominal wall via tunnel generated between xiphoid process and inframammary fold into the defect site in the anterior thoracic wall. The muscular part of the skin and subcutaneous flap is reinforced by one-row interrupted suture applied to rectus muscle of abdomen along the line of its dissection in parallel to the direction of the muscular fibers.