Successive uneventful pregnancies immediately following bilateral TRAM flap harvest

Successive uneventful pregnancies immediately following bilateral TRAM flap harvest We here report a 37-year-old woman who had two successful pregnancies following a bilateral harvest of transverse rectus abdominis musculocutaneous (TRAM) flap. The abdominal wall was firmly repaired by component separation as well as external oblique fascial patch grafts. Although she had a scar from a cesarean section and the recovery interval between the harvest and the first postreconstructive pregnancy was less than 2 months, each pregnancy and delivery was uneventful. With the popularization and improvement in TRAM breast reconstruction, there may be an increase in the number of pregnancies without physician’s approval. Our case revealed that a large bilateral anterior sheath defect can be firmly repaired to endure immediate pregnancy without using any synthetic material. Level of Evidence: Level V, risk/prognostic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Successive uneventful pregnancies immediately following bilateral TRAM flap harvest

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Publisher
Springer Journals
Copyright
Copyright © 2014 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-014-0959-z
Publisher site
See Article on Publisher Site

Abstract

We here report a 37-year-old woman who had two successful pregnancies following a bilateral harvest of transverse rectus abdominis musculocutaneous (TRAM) flap. The abdominal wall was firmly repaired by component separation as well as external oblique fascial patch grafts. Although she had a scar from a cesarean section and the recovery interval between the harvest and the first postreconstructive pregnancy was less than 2 months, each pregnancy and delivery was uneventful. With the popularization and improvement in TRAM breast reconstruction, there may be an increase in the number of pregnancies without physician’s approval. Our case revealed that a large bilateral anterior sheath defect can be firmly repaired to endure immediate pregnancy without using any synthetic material. Level of Evidence: Level V, risk/prognostic study.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2014

References

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