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Reconstruction: Other Types

 
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.

  • Free Tissue Transfer

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.


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