Versatility of the transverse rectus abdominis flap for the reconstruction of large skin defects in breast cancer
Journal: Advances in Medicine and Engineering Interdisciplinary Research DOI: 10.32629/ameir.v4i1.4929
Abstract
Objective: To demonstrate the versatility of the transverse rectus abdominis flap in the thoracic reconstruction after the mastectomy for locally advanced breast cancer. Method: Two clinical cases are described between July and September 2022 with locally advanced breast cancer, which met the inclusion criteria. Results: The patients evolved satisfactorily at 30 postoperative days with a good aesthetic and functional result. The clinical case number 1 presented epidermolysis, fat necrosis, and dehiscence as a complication, with the subsequent resolution and follow-up. Conclusion: The transverse rectus abdominis muscle cutaneous flap is widely described for the breast reconstruction but not for the thoracic reconstruction, the latter option being an excellent choice for the reconstructions with autologous tissue, generating coverage of large defects without tension and with an acceptable aesthetic result; thus obtaining good coverage of the chest wall in the large chest defects.
Keywords
cancer; flap; muscle cutaneous; abdominal rectus; reconstruction; breast
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[14] Ramos S, Pinheiro S, Diogo C, Bernardo J, Freire dos Santos M J. "Reconstrucción torácica: Experiencia del Servicio de Cirugía Plástica del Hospital Universitario de Coimbra 1998-2008. Cir. Plas. Iberolatinoam. 2011;37(3):243-251.
[2] González C, Calvo F, Santos J. Retrasos e interrupciones: La dificultad para irradiar en el tiempo ideal. Clinical and Translational Oncology. 2005;(7):47-54.
[3] Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg. 1982;69(2):216-25.
[4] Figueroa, G, Jiménez, J. Epistemología e investigación: para investigar con éxito. Caracas-Venezuela: Colección Bibliográfica General; 2011.
[5] Instituto Nacional de Cáncer de los Estados Unidos. [Internet]. Diccionario NCI: estudio clínico. [Consultado 2022 septiembre 12]. Disponible en: URL: https://bit.ly/3B2adDJ
[6] Brown DL, Borschel GH, Levi Benjamin, editors. Manual Michigan de Cirugia Plastica 2.. edición. Barcelona: Wolters Kluwer Health; 2015.
[7] Holmstrom H. The free abdominoplasty flap and its use in breast reconstruction. An experimental study and clinical case report. Scand J Plast Reconstr Surg. 1979;13(3):423-427.
[8] Robbins TH. Rectus abdominis myocutaneous flap for breast reconstruction. Aust N Z J Surg. 1979; 49(5):527-530.
[9] Gandolfo EA. Breast reconstruction with a lower abdominal myocutaneous flap. Br J Plast Surg. 1982;35(4):452-457.
[10] Clugston P, Gingrass, M, Azurin D, Fisher J; Maxwell, G. Ipsilateral pedicled TRAM flaps: The safer alternative? Plast Reconstr Surg. 2000;105(1):77-82.
[11] Casado Sánchez C, Cabrera Sánchez E, Redondo Camacho A, Rioja Torrejón LF. Análisis de controversias en reconstrucción mamaria con colgajo DIEP. Cir. plást. iberolatinoam. [Internet]. 2008 Dic [citado 2023 abr 01] ; 34( 4 ): 267-275. Disponible en URL: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922008000400003.
[12] Román J, Olivera M, Muñoz G. Reconstrucción mamaria con colgajo músculo cutáneo de recto abdominal con isla transversa de piel (TRAM): Experiencia de 12 años en Hospital El Pino. Rev Chil Cir. 2018;70(6):529-534.
[13] Yueh J, Slavin S, Adesiyun T, Nyame T, Gautam S, Morris D, et al. Patient satisfaction in postmastectomy breast reconstruction: A comparative evaluation of DIEP, TRAM, Latissimus Flap, and Implant Techniques. Plast Reconstr Surg. 2010;125(6):1585-1595.
[14] Ramos S, Pinheiro S, Diogo C, Bernardo J, Freire dos Santos M J. "Reconstrucción torácica: Experiencia del Servicio de Cirugía Plástica del Hospital Universitario de Coimbra 1998-2008. Cir. Plas. Iberolatinoam. 2011;37(3):243-251.
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