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

Mackay, D.R.; Braun, S.A.; Stott, R.S.

South African Medical Journal 76(12): 654-656

1989

ISSN/ISBN: 0256-9574
PMID: 2531932
Document Number: 337506
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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