The invention of silicone implants in the 1960s started the age of prosthetic breast reconstruction. Free flaps were not used until the late 1970s when Holmstrom published using a “free abdominoplasty flap” for breast reconstruction. However, microsurgery was not commonplace during that time. Autologous reconstruction really took off when Dr. Hartrampf published his method for pedicled TRAM (transverse rectus abdominis myocutaneous) flap in 1982. The pedicled TRAM evolved to the free TRAM, as microsurgery was more common and the deep inferior epigastric artery had improved blood supply compared to the superior epigastric artery (the basis of the pedicled flap). This process has further evolved into the free MS-TRAM (muscle-sparing TRAM) and deep inferior epigastric perforator (DIEP) flap, in addition to utilizing other free flaps for breast reconstruction. This activity describes the different types of flaps used to reconstruct the breast by the interprofessional team and their indications, contraindications, and complications.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/18613
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABTS - 1.0 Point; Credit Type(s): Accredited CME (ABTS)
ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABTS - 1.0 Point; Credit Type(s): Self-Assessment (ABTS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Breast, Complex General Surgical Oncology, General Surgery, Internal Medicine, Medical Oncology, Non-Thoracic Surgery, Surgical Pathology