Transverse Rectus Abdominis Muscle (TRAM)

Transverse Rectus Abdominis Muscle (TRAM) Flap Surgery is a breast reconstruction technique that uses tissue from the lower abdomen, including skin, fat, and part of the rectus abdominis muscle, to rebuild the breast after a mastectomy. This procedure creates a natural-looking and feeling breast, offering a long-term solution for women seeking reconstruction using their own body tissue instead of implants.

The TRAM flap utilizes the lower abdominal tissue, which closely resembles natural breast tissue in texture and appearance. The tissue is either left attached to its original blood supply or completely detached and reconnected to new blood vessels in the chest, depending on the technique used. The tissue remains attached to the rectus abdominis muscle and is rotated up to the chest without cutting the blood supply. The tissue is completely detached and microsurgically reconnected to blood vessels in the chest for better blood supply and reduced muscle removal.

Recovery time is typically 6 to 8 weeks, with temporary abdominal tightness and mild discomfort. Patients are advised to avoid heavy lifting and strenuous activities during the healing process. Physical therapy may be recommended to regain strength in the abdominal area. TRAM Flap Surgery is a gold standard in autologous breast reconstruction, offering natural aesthetics, durability, and improved body contouring.