TRAM-flap plasty of the chest wall defect in conditions of tissue deficiency: clinical case

Abstract

Plastic surgery of chest wall defects is often difficult for thoracic surgeons. In surgical practice, it is sometimes necessary to improvise in order to help cope with the consequences of a major intervention with minimal risk to the patient. The article presents the experience of treating a patient with skin cancer that developed against the background of an extensive post-burn scar of the chest wall. The performed radical treatment with simultaneous reconstructive and restorative intervention using a TRAM-flap led to the patient’s recovery. A feature of the clinical case is the patient’s deficiency of normal skin at the site of surgery, which served as the basis for choosing this particular variant of plastic surgery.