[Breast reconstruction using pedicled three-lobe transverse rectus abdominis musculocutaneous flap].

OBJECTIVE

An innovated transverse rectus abdominis musculocutaneous flap, the three-lobe TRAM flap was designed for breast reconstruction.

METHODS

A triangle-shaped skin over the upper part of the rectus abdominis muscle was included in the conventional TRAM flap for the purpose of adding more skin for breast reconstruction and enhancing blood supply of the skin portion of the TRAM flap.

RESULTS

In this group of six patients subjected to mastectomy and radiation therapy for breast cancer, complete survival of the three-lobe TRAM flap was obtained in 4 cases. Two patients had minor skin necrosis and fat liquefaction. Better breast contour and contracture release of the axilla were also achieved.

CONCLUSION

This innovation of conventional TRAM flap for breast reconstruction has some advantages. It is especially useful for patients complicated with radiation lesions on the chest and axilla areas.