Risks & Complications

  • <2% complete flap failure in unilateral; 5-8% in bilateral reconstruction.

  • <4% Re-exploration rate for flap related problems.

  • Hypertrophic (lumpy) scars occur in about 5% of patients.

  • Numbness on the lower tummy skin improves with time.

  • Breast and Abdominal wound infection and wound breakdown.

  • Lumpiness of breast and delayed healing (fat necrosis)

  • Asymmetry: inevitable on the breast and donor site, improved with revision.

  • Dog ears (skin folds) are common and easily by minor surgery if necessary.

  • Potential donor site problems occurring in about 6% include: tightness and discomfort; fluid collection; bulge and hernia; loss of the navel (rare).

  • Blood clots in the calf and lungs can occur after any major operation.

  • Anaesthetic risk although rare will be discussed with your Anaesthetist.

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TRAM Flap