Breast reconstruction TRAM Flap

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Frontal view of defect

Lateral view

Another view

Flap marked on tummy

Internal mammary vessel dissected

Flap fully dissected

just before pedicle division


Flap insetted


Second post op day

Lateral view 2nd post oop day

bleed showing viable flap

Dressing 2nd post op day
Lateral view

Frontal view

10 days frontal view
Secondary breast reconstruction done by free TRAM flap . Recipient vessel are internal mammary, it results in better flap placement. Aesthetic outcome is better , breast volume can be controlled better. Free tummy tuck is added benefit. Donor site morbidity over pedicled TRAM is reduced. Nipple reconstruction and symmetrization can be done after at least one year .
Primary breast reconstruction is called when it is done in same sitting as cancer surgery.



Dr Adhishwar Sharma 91 8860650846 adhishwar7@gmail.com













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