Breast Reconstructive Surgery (TRAM) Flap: Johns Hopkins Breast Center - Right tram-flap breast reconstruction
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TRAM Flap breast reconstruction - preparation. A Mastectomy site. B Right trans rectus abdominis muscle. C Left trans rectus abdominis muscle. A flap of this skin, fat, and all or part of the underlying rectus abdominus (“6-pack”) muscle are used to reconstruct the breast in a TRAM flap.