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Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


CHAVARRIA-LEON, Gustavo. Reconstrucción mamaria con colgajo recto abdominal: reporte de primeros 15 casos. Acta méd. costarric [online]. 2002, vol.44, n.1, pp.24-26. ISSN 0001-6002.

Today, the therapeutic and reconstructive options for mastectomized women are numerous. Of the different methods for autologous breast reconstruction, the transversus rectus abdominis muscle "TRAM" flap has been the most popular. The flap includes skin, subcutancous tissue and the rectus abdominis muscle. This flap irrigated by the superior epigastric artery is taken lo the mastectomy defect in the thorax.. From April 1999 to December 2000 we performed 15 breast reconstructions using the rectus abdominis flap. The reconstruction was unilateral in fourteen cases and bilateral in one. In thirteen patients we utilized a contralateral pedicle and in two patients the pedicle was ipsilateral. The complications were two abdominal hernial, one partial fat necrosis and one hematoma, all of them resolved . Inmediate reconstruction offers advantages over delayed reconstruction. In our country we performed immediate and delayed reconstruction. Immediate reconstruction by comprensive teams of oncology and general surgeons, plastie surgeons, psychiatrics, etc.

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