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Omranipour et al. Plast Aesthet Res 2017;4:155-60 Plastic and
DOI: 10.20517/2347-9264.2017.55
Aesthetic Research

www.parjournal.net
Original Article Open Access

Comparison of breast reconstruction using

ipsilateral and contralateral pedicle transverse

rectus abdominis musculocutaneous flaps

Ramesh Omranipour, Sima Mashayekhi, Mahtab Vasigh, Sadaf Alipour, Habibollah Mahmoodzadeh
Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Hospital, Tehran 13145-158, Iran.

Correspondence to: Prof. Ramesh Omranipour, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Hospital, Tehran 13145-
158, Iran. E-mail: omranipour@tums.ac.ir
How to cite this article: Omranipour R, Mashayekhi S, Vasigh M, Alipour S, Mahmoodzadeh H. Comparison of breast reconstruction using ipsilateral
and contralateral pedicle transverse rectus abdominis musculocutaneous flaps. Plast Aesthet Res 2017;4:155-60.

Dr. Ramesh Omranipour is a cancer surgeon presently working as full professor at Cancer Institute of Tehran
University of Medical Sciences (TUMS) in Iran. She is the first and the sole lady who has reached full professor
degree in general surgery in academic medical schools of her country. Dr. Omranipour is the head of Breast
Cancer Research Center of TUMS and the vice chancellor of education at Cancer Institute. She is the author or co-
author of more than 90 published papers. She was the invited speaker as an oncologist, especially a breast cancer
surgeon in more than 200 national conferences.

ABSTRACT
Article history: Aim: Breast reconstruction has several beneficial effects on psychosocial well-being and
Received: 17 Aug 2017 quality of life. The ultimate goal has always been to create the most natural breast mound.
Accepted: 19 Sep 2017 Thus in many centers, the unilateral pedicled transverse rectus abdominis myocutaneous
Published: 29 Sep 2017 (TRAM) flap remains the most common technique for breast reconstruction. Our objective
was to retrospectively compare the outcomes of ipsilateral and contralateral pedicle TRAM
Key words: flaps. Methods: The total of 110 patients underwent unilateral breast reconstruction with
Breast reconstruction, pedicle TRAM flap at Cancer Institute of Tehran University of Medical Science from
transvers rectus abdominis January 1996 to June 2011. Premorbid risk factors, postoperative outcomes and demographic
musculocutaneous flap, data were assessed. The analysis of the recordings was done by SPSS 20. Results: Out of
unilateral pedicle TRAM flap, 110 patients who were included in the study, 87 had ipsilateral and 23 contralateral pedicle
ipsilateral pedicle TRAM flap TRAM flaps. The incidence of flap complications that did not require surgical intervention
was 19.7% in ipsilateral and 30.4% in contralateral pedicle TRAM flap. The incidence of
flap loss requiring revision was significantly higher in contralateral group (P = 0.001). Major
complications were noted in 11.5% of the ipsilateral pedicle TRAM patients and 26.1% of the
contralateral group (P < 0.001). Minor complications were noted in 17.2% of the ipsilateral

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