What is the Difference Between a TRAM Flap and DIEP Flap?
The TRAM flapping is the acronym of Transverse Rectus Abdominis Muscles flap . It is the most uncouth type of flap includes the muscles , blubber and skin taken from the lower abdomen in a breast surgical procedure and moved in the thorax area . It reduces the amount of fat and pelt in the lower belly . TRAM flap can be used as pedicel or spare flap . On the contrary , the Deep Inferior Epigastric Artery Perforator flap ( DIEP ) is a gratis tizzy which includes only the avoirdupois and skin from the depressed abdomen leaving out the muscleman .
The flap surgery can be done in any of the follow ways :
Pedicle Flap : The surgery can be done using a pedicle flap , which intend a flap of tissue from the buttock or the abdomen is fill and move to the chest of drawers without cutting its original blood supply . Only the tissue is pulled under the skin up to the chest and sequester .
Free Flap : At clip , the flaps technique of surgery is done using free fuss , which let in the blood vessels along with the tissue paper . They are edit and placed on the chest and then the operating surgeon sew the line vessel of the flap to the stemma vessel of the chest area . This is a more complicated cognitive operation and need using a microscope .
What are the Various Types of Breast Flaps Other Than TRAM Flap and DIEP Flap?
There are various types of flaps which may be used and it all depend on the spot from which they are taken from . Few of the type of bosom flaps involve-
Pedicle Flap Surgery : muscle , fat and skin are taken from the upper back and incite to the chest area .
Gluteal Free Flap - As the name suggest , it can be used as a complimentary flap . Fat , peel and muscular tissue are taken from the arse to retrace the breast .
Transverse Upper Gracilis flap ( TUG ) – This is another form of free flutter that can be used from the inner upper thigh for the new breast Reconstruction Period . This may be advantageous because the scar so shape will be hidden inside the thigh and groin . This may be beneficial for woman who have small breasts and do not have enough tummy muscles for the reconstruction .
Superficial Inferior Epigastric Artery flap ( SIEA ) – This form of flap is similar to DIEP flap . The only divergence in this surgical operation is that it does not cut through the belly muscles to get to the artery to use it for the new breast construction .
What Are The Cons Of Having A Flap Surgery?
Every operating room has its own set of pros and cons . Some of the cons of pother surgical operation include-
Recovery Time : As compared to breast nidation process , the flap operation requires more operating theatre and retentive procedure for recovery .
operative Scars : Flap procedure of operating theater leaves two operative scar , one where the tissue was demand from and the other on the reconstruction site . Although the scars fade overtime , they never go away .
Poor Blood Circulation : Flap process may not be the best choice for smokers and for affected role who have uncontrolled diabetes and problems of inadequate rip circulation because healthy blood vessels are needed for the blood provision of the flap tissue paper .
How Long Does It Take to Recover from a DIEP Flap?
Generally in most circumstances the drains remain for a period of two calendar week . In example the leakage is more , they have to stay longer . The recovery time for the DIEP pother operating theater is around 4 to 6 weeks . The patient may be painful for a week and then begin to heal every daytime .
