Tram flap breast reconstruction has often been considered contraindicated in obese patients. However, the morphologic characteristics peculiar to this population make obese patients ideal candidates for this procedure, since the reconstructed breast must often match a large ptotic controlateral breast. About one-third of our post-mastectomy patients are corpulent middle-aged women with a 'mediterranean' body structure. Thirty four obese patients underwent TRAMF breast reconstruction from 1985 to 1988. According to the BMI 23 patients had type II obesity and 11 type III. The pre- and post-operative management and the surgical procedure were adapted to this particular group of patients. The complication rate in this series was superior to that of a non-obese population. No severe complications were observed. The majority of patients were extremely satisfied with aesthetic results; the surgeons also judged the final cosmetic outcome to be very favourable and indeed superior to that obtainable with simpler methods. Obesity uncomplicated by other risk factors does not represent an absolute contraindication to TRAMF procedure.
|Translated title of the contribution||The tram flap for breast reconstruction in obese patients|
|Number of pages||10|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1991|
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