TRAM - Modified TRAM , DIEP Flap - for Breast reconstruction

ShubhanshuGaurav 303 views 13 slides Mar 20, 2024
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About This Presentation

THE DEEP INFERIOR EPIGASTRIC ARTERY PERFORATOR (DIEP) & MS -TRAM FLAP


Slide Content

RECTUS ABDOMINIS FLAP Dr Shubhanshu Gaurav ASSISTANT PROFESSOR KEM HOSPITAL, MUMBAI

BLOOD SUPPLY TYPE – III Pattern 2 Dominant Pedicle – Superior and inferior epigastric artery Dimensions- 25 x 6 cms

Arc of rotation 2 standard arc of rotation above and below

Coverage Anterior thorax, Posterior trunk Abdomen Groin Vaginal Defects, Scrotal Defects Perineam – APR Defects Breast Reconstruction – Pedicled or as Free Perforator flap H & Neck rec – Free Flap

Skin territory Skin island – Directly over the surface of muscle in vertical orientation (VRAM) Or, Transversely across the abdomen (TRAM)

TRAM ELEVATION Marking : Skin territory of flap defined below the umbilicus , and above the inguinal ligament, not extending to ASIS.

DIEP flap harvest

DIEP flap harvest

Thank you