The TRAM flap is a popular and versatile technique for autologous tissue breast reconstruction.
Certain patient populations, however, remain at high risk of vascular insufficiency
of the TRAM flap with the sequelae of flap necrosis and fat stiffness. One option
to reduce the risk of TRAM flap vascular ischemic compromise is a preliminary surgical
delay procedure. This article briefly reviews the scientific basis of the delay phenomenon
and offers an algorithm for implementation of the delay procedure for TRAM flap breast
reconstruction in clinical practice.
Breast reconstruction - TRAM flap - delayed procedure - complications
