THE TRAM FLAP VS. DIEP FLAP
BENEFITS AND LIMITATIONS OF THE TRAM FLAP AND DIEP FLAP
DIEP flap is considered the gold standard for breast reconstructive procedures. It is used in the most prestigious medical centers in the world. Conversely, TRAM surgery has an added risk of hernias and muscle weakness at the donor tissue.
Another added benefit is that the DIEP flap doesn’t interfere with the treatment or the subsequent control of breast cancer!
Besides, after the surgery, when the patient loses weight, the new breast will slim down too. If the patient puts on weight, the breast will also increase in volume. When the patient gets older, and the breasts sag, both breasts will do so in a symmetrical way.
Without a doubt, the DIEP flap is one of the best techniques that we have currently for breast reconstruction. It allows for a natural reconstruction using the patient’s own tissue. Besides, the donor zone is left as if we had done abdominal surgery (tummy tuck).
The biggest disadvantage is that DIEP flap surgery lasts 5 hours and requires a highly qualified team in microsurgery. Also, this surgery may not be suitable for certain patients. Some medical conditions might increase the risk of complications during and after surgery.
Despite being a long surgery, pain levels are moderate. A combination of general and epidural anaesthetic is used. After the operation, the patient must stay in the clinic for 4-5 days.
LATISSIMUS DORSI FLAP
Doctor Jesús Benito: Bibliography and Publications:
- Joaquim Muñoz i Vidal (2010). Reconstucción mamaria. European Journal of Plastic Surgery.
- Reconstrucción mamaria postmastectomía. Serra Renom J.M., Benito Ruiz J. Medicina Interna, 1994, 12: 303 – 319.
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