What in included in preoperative care for TRAM breast reconstruction?

Updated: Jul 28, 2021
  • Author: Michael R Zenn, MD, MBA, FACS; Chief Editor: James Neal Long, MD, FACS  more...
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Answer

Degree of preparation necessary for such a large procedure is often limited by the need to perform the mastectomy in a timely fashion. Preoperative instructions include the following:

  1. Autogenous blood donation: Donate 2-3 units up to 1 week preoperatively.

  2. Abdominal conditioning: Have the patient perform abdominal exercises to strengthen the muscle to be used and to improve blood supply to the muscle.

  3. Perform bowel preparation the day before surgery.


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