A transverse rectus abdominis myocutaneous (TRAM) flap for reconstruction of a large deformity in the buttock: A new indication for a TRAM flap

Ali Gürlek Department of Plastic and Reconstructive Surgery, Medical Faculty, Inönü University, MalatyaCorrespondence[email protected]

Canser Y. Demir Department of Plastic and Reconstructive Surgery, Medical Faculty, Inönü University, Malatya

Ibrahim Askar Department of Plastic and Reconstructive Surgery, Medical Faculty, Dicle University, Diyarbakir

Hakan Aydoğan Department of Plastic and Reconstructive Surgery, Medical Faculty, Inönü University, Malatya

Nezih Alaybeyoglu Department of Plastic and Reconstructive Surgery, Medical Faculty, Inönü University, Malatya

Y. Kenan Coban Department of Plastic and Reconstructive Surgery, Medical Faculty, Sutcu Imam University, Kahramanmaras, Turkey

Abstract

A rectus abdominis myocutaneous flap has been used to repair the abdominal wall, chest wall, sternum, breast, and groin. We describe a patient in whom a large deformity in the buttock caused by a road crash was repaired with a transverse rectus abdominis myocutaneous (TRAM) flap. Distally-based TRAM flaps provide a good and reliable way of reconstructing the buttock. Its advantages are a long arc of rotation and well-vascularised bulky tissue that serve as a partition and promote quick healing of the defect. However, the flap is not the first choice for traumatic and infected wounds where fatty tissue is not desired.

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A transverse rectus abdominis myocutaneous (TRAM) flap for reconstruction of a large deformity in the buttock: A new indication for a TRAM flap

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A transverse rectus abdominis myocutaneous (TRAM) flap for reconstruction of a large deformity in the buttock: A new indication for a TRAM flap

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