The pedicled TRAM as preference for immediate autogenous tissue breast reconstruction.

This series supports the premise that immediate breast reconstruction using the pedicled TRAM flap in properly selected patients is safe and reliable. A realistic breast mound can be created within a matter of hours, providing significant psychologic benefits and predictable long-term results, with a complication rate that compares favorably with that of other techniques. There is no evidence to date that immediate reconstruction with the pedicled TRAM flap interferes with chemotherapy of masks detection of a local recurrence.