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TRAM Flap in Breast Reconstruction: A Forgotten Technique? Case Report Series at A Breast Cancer Referral Center in Southern Mexico City

Year: 2026

Type: article

Abstract: With the evolution of microsurgery and the development of the DIEP flap, muscle preservation has become the new gold standard in many centers (1). However, the availability of microsurgical resources is not universal, and not all patients are ideal candidates for prolonged procedures. In this context, the pedicled TRAM flap retains its relevance as a reconstructive strategy dependent on the clinical and institutional context (2). This paper presents four cases of breast reconstruction using the TRAM flap, evaluating age, operative time, length of hospital stay, postoperative outcomes, and complications. The pedicled TRAM flap relies on vascularization from the superior epigastric arteries, which allows the transfer of abdominal tissue without the need for microvascular anastomosis.

Source: International Journal of Medical Science and Clinical Research Studies

DOI: 10.5281/zenodo.21991452

Authors: David Arturo Ruiz Villalba*, Daniel Garza Arriaga, Erick César Ochoa Contreras, Laura Elisa Dávalos Durán, Ricardo Baltierra Gómez, Juan Jesús Ortega Landeros, Juan Daniel Coria Ramírez, Sergio Armando Mora Razo, Monserrath De La Torre Rivera, Jonathan Gómez Aguilar

Institutions: Mexican Social Security Institute, Centro Universitario de Chihuahua, Hospital Universitario de León, Hospital General De Zona, Servicios de Salud del Instituto Mexicano del Seguro Social para el Bienestar

Language: English

Topic: Breast Implant and Reconstruction

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W7203668898

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