Wikipedia:

TRAM flap

A TRAM flap is a surgical procedure, most commonly employed for breast reconstruction. TRAM flap stands for Transverse Rectus Abdominis Myocutaneous flap.

In this procedure, the breast with cancer is surgically removed, and a portion of the abdomen tissue group, including skin, adipose tissues, minor muscles and connective tissues, is taken from the patient's abdomen and transplanted onto the breast site.

This procedure is preferred by some breast cancer patients because it combines a mastectomy with a abdominoplasty, and allow the breast to be reconstructed with one's own tissues instead of a foreign implant. It is contraindicated for patients who need abdominal strength, since the muscle removal weakens the abdomen.

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