How is the location of the TRAM flap determined?

Updated: Jul 28, 2021
  • Author: Michael R Zenn, MD, MBA, FACS; Chief Editor: James Neal Long, MD, FACS  more...
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Answer

In planning the location of the TRAM flap, it is advantageous to leave the scar as low as possible, similar to an abdominoplasty. Remind the patient that location of the fat ultimately dictates the level of the scar. Adequate tissue over the muscle and immediately adjacent to the muscle must be present to create a sufficient mound, otherwise select an alternative technique.


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