Bipedicled TRAM Flap

  • Paulo Roberto Leal


Described by Hartrampf et al. [1] 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.

Supplementary material

Video 43.1

(MOV 3379735 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Paulo Roberto Leal
    • 1
  1. 1.Department of Plastic Surgery and Reconstructive MicrosurgeryNational Cancer Institute (INCA)Rio de JaneiroBrazil

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