| |
| LESS FREQUENTLY USED ALTERNATIVE |
| METHODS OF RECONSTRUCTION |
| |
Depending on individual circumstances, alternative
methods of reconstruction may be used. Below are two
alternative methods:
- Latissimus Dorsi Myocutaneous
Transposition Flap and Implant
This method may be used for both immediate and
delayed reconstruction. This procedure is similar to
the TRAM Flap technique in that it utilizes
autogenous tissue for breast reconstruction. However,
in addition to the autogenous tissue transfer, an
implant may be required to achieve adequate size.
This method leaves the patient with a scar in the
back area. Typically this technique is used when the
TRAM Flap is not available.
This method may also be used for immediate and
delayed reconstruction. The tissue flap is removed
with its supplying artery and vein from the donor
area. The TRAM flap is most commonly selected as the
donor site and can be transferred based on the
inferior epigastric artery and veins. The epigastric
vessels are connected to the thoracodorsal artery and
vein in the axilla. If the thoracodorsal artery and
vein are not available the internal mammary artery
and vein can be used. This technique involves
increased operating time and risk of complete flap
loss.
© 1997 - TRANSMED
|
