Clinical outcome and patients' satisfaction after simultaneous bilateral breast reconstruction with free transverse rectus abdominis muscle (TRAM) flap

Laszlo Kovacs, Nikolaos A. Papadopulos, Samir A. Ammar, Markus Klöppel, Peter Herschbach, Garhard Heinrich, Andreas Baumann, Edgar Biemer

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

In the study presented, the long-term outcome and satisfaction of 34 patients who underwent simultaneous bilateral breast reconstruction with a free transverse rectus abdominis muscle (TRAM) flap between 1988 and 2001 were assessed. Flap complications affected 13 of 68 flaps (19.1%). Anastomosis revision was needed in 6 cases (8.8%), the salvage rate being 50%. The rates of total and partial flap loss were 4.4% and 1.5%, respectively. Bilateral flap loss did not occur. Four patients developed donor site complications (11.7%), with wound healing problems being the most common (5.8%). Most patients were satisfied with their decision to have had breast reconstruction with free TRAM, 91% would choose the same operation again, and 91% would recommend this procedure to other patients. Of the operated patients, 20.8% felt an improvement in their sexual life; more patients, however, reported an improvement concerning their social life (37.5%) and life in general (50%).

Original languageEnglish
Pages (from-to)199-204
Number of pages6
JournalAnnals of Plastic Surgery
Volume53
Issue number3
DOIs
StatePublished - Sep 2004
Externally publishedYes

Keywords

  • Bilateral breast reconstruction
  • Patient satisfaction
  • Quality of life
  • TRAM

Fingerprint

Dive into the research topics of 'Clinical outcome and patients' satisfaction after simultaneous bilateral breast reconstruction with free transverse rectus abdominis muscle (TRAM) flap'. Together they form a unique fingerprint.

Cite this