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Revista chilena de cirugía

versión On-line ISSN 0718-4026


STEVENS M, PATRICIO; VILLAGRAN M, RODRIGO  y  KLENNER M, ALEJANDRA. Pregnancy and vaginal delivery after transverse rectus abdominis musculocutaneous flap for breast reconstruction. Report of one case. Rev Chil Cir [online]. 2008, vol.60, n.4, pp.344-347. ISSN 0718-4026.

Mammary reconstruction using Transverse Rectus Abdominis Musculocutaneos Flap (TRAM) is successfully used for mammary reconstruction after breast cáncer surgery. The absence of the anterior rectus muscle modifies the functional properties of the abdominal wall. There is little knowledge about what occurs with a debilitated abdominal wall during pregnancy after mammary reconstruction using a TRAM flap. We report a 29 years oíd patient, who was treated for breast cáncer with preoperative radiotherapy and a right side mastectomy with lymphadenectomy. TRAM flap was done one year later; a single rectus abdominis was used and the abdominal wall was not reinforced with a mesh. After three months, the nipple was reconstructed with the skate flap technique. Although it was not planned, she got pregnant and did not search for obstetric assessment until the fifth month. She was followed at the high risk obstetric unit and no complications were observed in her abdominal wall. She had a vaginal delivery of a healthy full term male newborn weighing 2720 grams. Six years later, there was no evidence of abdominal wall complications. Therefore, abdominal stress during pregnancy did not affect the debilitated abdominal wall after rotation of the rectus abdominis muscle

Palabras clave : TRAM flap; pregnancy; mammary reconstruction.

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