Mar 07, 2019 · TRAM stands for transverse rectus abdominis, a muscle in your lower abdomen between your waist and your pubic bone. A flap of this skin, fat, and all or part of the underlying rectus abdominus (“6-pack”) muscle are used to reconstruct the breast in a TRAM flap procedure. Aug 12, 2019 · The TRAM flap breast reconstruction procedure uses skin, fat, and muscle from your abdomen (a.k.a. "the flap") to create a new breast mound after a mastectomy.This procedure takes its name from the portion of the transverse rectus abdominus myocutaneous (or TRAM) muscle that's used to give the attached tissue and fat an adequate blood supply.
Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap (Transverse Rectus Abdominis Myocutaneous flap) or its technically distinct variants of microvascular "perforator flaps" like the DIEP/SIEA flaps. In a TRAM procedure, a portion of the abdomen tissue group, including skin, adipose tissues, minor muscles and connective tissues, is taken from the patient's abdomen and Specialty: plastic surgeon. The TRAM flap was replaced by the DIEP flap as the gold standard in breast reconstruction several years ago. However, it is important to understand the concept of TRAM surgery and how it has evolved into today's cutting edge DIEP flap procedure.
DIEP flap. The DIEP (deep inferior epigastric perforator) flap uses fat and skin from the same area as the TRAM flap but does not use the muscle to form the breast shape. This method uses a free flap, meaning that the tissue is completely cut free from the tummy and then moved to the chest. As in the free TRAM surgery, a microscope is needed to connect the tiny blood vessels.Last Revised: August 18, 2016.