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Problems with the transverse rectus abdominis myocutaneous island flap in breast reconstruction.

Authors
Type
Published Article
Journal
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
Publication Date
Volume
76
Issue
12
Pages
654–656
Identifiers
PMID: 2531932
Source
Medline
License
Unknown

Abstract

The transverse rectus abdominis myocutaneous (TRAM) island flap would appear to be ideal for breast reconstruction where a significant skin and muscle deficiency exists after mastectomy. The flap is bulky enough to allow reconstruction without a prosthesis and leaves an excellent donor scar. However, in contrast to the impression gained from most reports, we have found the TRAM flap to have a high failure rate. Careful patient selection is essential to avoid flap necrosis.

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