Bipedicled TRAM Flap
Described by Hartrampf et al.  in 1982 and popularized by many authors during the last 30 years, the use of the transverse skin and fat harvested from the lower abdominal region, the so-called transverse rectus abdominis myocutaneous (TRAM) flap, is still considered by many to be the gold standard for breast reconstruction. It gives the surgeon the possibility to recreate a breast of a desirable size with controlled shape.
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