AMA CPT® Assistant - 2000 Issue 10 (October)

Breast Reconstruction with Transverse Rectus Abdominus Myocutaneous (TRAM) Flap (October 2000)

October 2000 pages 1-3 Breast Reconstruction with Transverse Rectus Abdominus Myocutaneous (TRAM) Flap The transverse rectus abdominus myocutaneous (TRAM) flap utilizes the reconstructive technique of the "island myocutaneous" flap, which consists of an entire muscle, its fascia, and the overlying subcutaneous tissue and skin. This flap can be transferred based on the muscle's nutrient artery and veins. In the case of the TRAM flap, a large portion of lower abdominal tissue, including an entire rectus abdominis muscle, can be transferred to the chest after completely detaching these structures, leaving only a pedicle of the deep superior epigastric blood vessels...

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