Transabdominal Augmentation of Contralateral Breast in TRAM Breast Reconstruction

ABSTRACT

PURPOSE: Introduction of the mammary implant through the abdominal route has been well known since late 1960s, but the use of transabdominal route for contralateral breast augmentation in transverse rectus abdominis musculocutaneous(TRAM) flap breast reconstruction patients has not been reported in Korean literature. The authors report their experience with technical points as well as the selection of the appropriate patients. METHODS: Simultaneous contralateral augmentation mammaplasty through transabdominal route was performed in 11 patients who underwent TRAM breast reconstruction from August 2003 to May 2008 with a mean follow up of 27 months. The pocket was created under direct vision 3 subglandular, 7 subpectoral, and 1 dual plane was dissected. Eight saline and 3 silicone gel implants were used with an average volume of 165 cc. RESULTS: There were no complications such as infection, hematoma, implant displacement, and capsular contracture. The results were well maintained throughout the follow-up period. CONCLUSION: Transabdominal route could be recommended in selected patients for contralateral augmentation in TRAM breast reconstruction.