During a TRAM flap (transverse rectus abdominis musculocutaneous flap) procedure, the surgeon removes a section of tissue from your abdomen and moves it to your chest to reconstruct the breast. The TRAM flap is sometimes referred to as a " tummy tuck" reconstruction, because it may leave the stomach area flatter.

A pedicle TRAM flap procedure typically takes three to six hours of surgery under anesthesia; a free TRAM flap procedure generally takes longer. The TRAM procedure may require a blood transfusion. Typically, the hospital stay is two to five days. You can resume daily activity after six to eight weeks. However, some women report that it takes up to one year to resume a normal lifestyle.

The DIEP Flap

DIEP stands for deep inferior epigastric perforator. What this surgery entails is, in the simplest of terms, a TRAM flap without using the muscle. The fat and skin of the abdomen are moved to create a new breast mound. Microsurgery is involved, due to the reattachment of blood supply to the area. The hospital stay is generally two to five days . Recovery time is usually similar to the time needed after the TRAM flap, six to eight weeks.

Breast Reconstruction (TRAM Flap)
Procedures by Stephen Madry, M.D.
© 2013 Stephen A. Madry, MD. All Rights Reserved.
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