Abstract
Multiple techniques exist for transfer of lower abdominal tissue for breast reconstruction: pedicled and free TRAMs, DIEP, or SIEA flaps. However, the ideal vascularity in cases of previous abdominal surgery has not been explicitly defined. The authors presented their past 3-year experience in breast reconstruction using lower abdominal tissue, and provided an algorithm for the determination of the preferred flap in cases of previous abdominal scarring from Pfannensteil, McBurney, Kocher, midline, paramedian, or laparoscopic incisions.
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