The Partial Removal of Rectus Abdominis Muscle Inserting into Ribs in Ipsilateral Pedicled TRAM Flap for Breast Reconstruction
Research article published in Journal of clinical medicine (2022)
Abstract
BACKGROUND: The purpose of this study was to introduce a new surgical technique for pedicled TRAM flap that removes a part of the rectus abdominis muscle inserting into ribs, and to analyze this technique in comparison with classical pedicled TRAM flap. METHODS: A retrospective review of patient charts from May 2006 to February 2016 was performed. The patient group that underwent the removal of the part of the rectus abdominis that inserts into the thorax (partial muscle resection; PMR group) was compared with the group that did not undergo this muscle resection (Classical group). The complications and aesthetic effects of surgery between the two groups were analyzed. RESULTS: There were 34 patients in the classical group and 28 in the PMR group. There were no significant differences in postoperative complications between these two groups. The rates of fat necrosis were 32.1% in the PMR group and 36.1% in the classical group. The postoperative aesthetic outcome of the inframammary fold showed no significant differences in outcome between the classical and PMR groups. However, all items received higher scores in the PMR group. CONCLUSIONS: The authors' new surgical method was associated with a positive cosmetic effect of improving inframammary fold aesthetics and could thus represent a new option for pTRAM breast reconstruction.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Peer-reviewed clinical and outcomes research relevant to medicinal leech therapy and its biology. Indexed in PubMed and verified against the NCBI record.
Por qué esto importa para la hirudoterapia
Este estudio de Journal of Clinical Medicine (2022) es una revisión retrospectiva de historias clínicas que presenta una técnica modificada de colgajo TRAM pediculado para reconstrucción mamaria que extirpa la parte del músculo recto del abdomen que se inserta en las costillas, comparando 28 pacientes con resección muscular parcial con 34 pacientes con técnica clásica; según el resumen, no hubo diferencias significativas en las complicaciones postoperatorias (necrosis grasa 32,1% frente a 36,1%) ni en la estética del surco submamario entre los grupos, aunque todos los ítems estéticos obtuvieron puntuaciones más altas en el grupo modificado. Para la hirudoterapia, proporciona información de contexto sobre la reconstrucción con colgajo TRAM, un contexto en el que los colgajos pueden sufrir compromiso venoso que a veces se maneja con sanguijuelas medicinales, ayudando a caracterizar las tasas de complicaciones en este tipo de reconstrucción. Advertencia: se trata de una comparación retrospectiva de un solo centro, las diferencias en las puntuaciones estéticas no fueron estadísticamente significativas, y el estudio no examina el manejo de la congestión venosa ni la hirudoterapia.
Citación
The Partial Removal of Rectus Abdominis Muscle Inserting into Ribs in Ipsilateral Pedicled TRAM Flap for Breast Reconstruction.
Son et al. · Journal of clinical medicine, 2022
Contexto clínico relacionado
Explore cómo esta investigación se conecta con la práctica clínica
Añadido a la biblioteca ASH: May 28, 2026 · Última actualización del sitio: 18 de junio de 2026