Table 4.

Advantages and disadvantages of autologous breast reconstruction: Pedicled versus free flap.

AUTOLOGOUS BREAST RECONSTRUCTION	ADVANTAGES	DISADVANTAGES
Pedicled flap	Technically simpler Shorter operative times Lower risk of partial or complete flap failure	Potential loss of function due to sacrifice of muscle: - Pedicled TRAM—loss of abdominal strength and higher rate of abdominal hernia - Latissimus dorsi—decreased range of movement and strength of upper extremity; feels “tighter”
Free flap	Ability to harvest larger amount of tissue No sacrifice of underlying muscle	Technically complex Longer operative times Longer hospital stays Higher risk of flap failure

TRAM—transverse rectus abdominis myocutaneous.