Abstract
The transverse rectus abdominis myocutaneous (TRAM) flap has become the well-accepted method for breast reconstruction using autogenous tissue. The free TRAM flap allows one to perform this procedure with minimum complications because of the improved blood supply. The design of the flap, which is based on the deep inferior epigastric vessel, also avoids sacrifice to the abdominal wall. The flap is especially well suited for immediate reconstruction after mastectomy.
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