TRAM

Medical abbreviation · Surgical

TRAM
Stands forTransverse rectus abdominis myocutaneous (flap)
CategoriesMedical

TRAM stands for Transverse rectus abdominis myocutaneous (flap), a surgical abbreviation.

Breast reconstruction using skin, fat and some or all of one rectus abdominis muscle from the lower abdomen to form a new breast, either left attached to its blood supply (pedicled) or transferred as a free flap. The donor site closure resembles a tummy tuck.

Example: Pedicled TRAM reconstruction; abdominal binder for six weeks.

Usage notes

Because muscle is sacrificed, TRAM flaps carry a higher risk of abdominal weakness and bulging than muscle-sparing options. The DIEP flap has replaced the TRAM in many centers. Smokers and people with prior abdominal surgery face higher complication rates.

More surgical abbreviations

  • ALND – Axillary lymph node dissection
  • Appy – Appendectomy
  • APR – Abdominoperineal resection
  • BMP – Bone morphogenetic protein
  • BMT – Bilateral myringotomy and tubes
  • Circ – Circumcision
  • CTR – Carpal tunnel release
  • Cysto – Cystoscopy
  • DIEP – Deep inferior epigastric perforator (flap)
  • DOS – Day of surgery
  • EBL – Estimated blood loss
  • ERAS – Enhanced recovery after surgery

See all 51 surgical abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.