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What is the difference between a pedicled TRAM flap and a free TRAM flap?

April 26, 2017difference flap Free tram

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What is the difference between a pedicled TRAM flap and a free TRAM flap?

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In a pedicled TRAM flap, the tissue is passed inside the body behind the upper abdominal skin to the chest where the breast is then reconstructed. In a free TRAM flap procedure, the tissue is completely detached from the abdominal wall. Subsequently, the detached tissue is reconnected to an artery in the chest to re-establish blood supply, and is then shaped into a new breast.