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De-epithelialized TRAM flaps are an alternative to autologous tissue use.

Women's Health Weekly

| September 04, 2003 | COPYRIGHT 2003 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2003 SEP 4 - (NewsRx.com & NewsRx.net) -- De-epithelialized TRAM flaps are an alternative to use of autologous tissue in breast implantation surgery.

"Since the 1980s, many patients have benefited from the use of the transverse rectus abdominis musculocutaneous (TRAM) flap for post mastectomy reconstruction," investigators in Taiwan report.

"In addition to cancer reconstruction, this technique has recently been used to treat patients with breast implant intolerance and for reconstruction after siliconoma resection," wrote Y.L. Lai and colleagues, Chang Gung Memorial Hospital, Department of Plastic Surgery.

"However, physicians and patients alike believe that such an extensive procedure should not be used for aesthetic purposes, and to the authors' knowledge, no study has been reported on the use of pedicled TRAM flaps for aesthetic augmentation mammoplasty," the researchers wrote.

"In the past several years, a number of the authors' patients have requested simultaneous breast augmentation and abdominoplasty. These patients objected to the use of prosthetic implants because of potential complications such as implant failure, capsular contracture, wrinkling, and palpability," the researchers stated.

"Therefore, from 1995 to 2000, the authors performed 14 cases of bilateral breast augmentation with de-epithelialized, pedicled TRAM flaps. In this series, the donor site complication ...

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