The "perfusion map" of the unipedicled TRAM flap to reduce postoperative partial necrosis

Satoru Yamaguchi, Francesca De Lorenzi, Jean Yves Petit, Mario Rietjens, Cristina Garusi, Andrea Giraldo, Pier Carlo Rey, Cicero Urban, Stefano Martella, Riccardo Bosco

Research output: Contribution to journalArticlepeer-review


The unipedicled transverse rectus abdominis musculocutaneous (TRAM) flap is a well-known technique for breast reconstruction. However, it is clinically difficult to evaluate the blood perfusion of the flap in the operating room. A new technique of blood supply evaluation, employing indocyanine green dye (ICG) fluorescence videoangiography has been performed in 10 cases of unipedicled TRAM flap breast reconstruction. In our series, the ICG measurement was demonstrated to be a safe, quick, and accurate technique of flap perfusion analysis. We confirmed the presence of individual pattern ("perfusion map") of the flap perfusion, zone II sometimes not being as well perfused as zone III. In this paper, we present our descriptive findings, and the ICG analysis seems to have a predictive value of unipedicled TRAM flap viability.

Original languageEnglish
Pages (from-to)205-209
Number of pages5
JournalAnnals of Plastic Surgery
Issue number3
Publication statusPublished - Sep 2004

ASJC Scopus subject areas

  • Surgery


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