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Multiple Choice

Which reconstruction method involves sacrificing abdominal muscle?

The method that sacrifices abdominal muscle is the TRAM flap, because it uses a portion of the rectus abdominis muscle along with skin and fat to build the breast mound. Taking muscle from the abdominal wall provides strong, reliable tissue and a robust blood supply, but it can weaken the abdominal wall and raise the risk of a hernia or bulge. In contrast, the DIEP flap spares the muscle by harvesting only skin and fat with perforating vessels; the latissimus dorsi flap relies on the back muscle; and the TUG flap uses tissue from the inner thigh and does not require sacrificing abdominal muscle.

The method that sacrifices abdominal muscle is the TRAM flap, because it uses a portion of the rectus abdominis muscle along with skin and fat to build the breast mound. Taking muscle from the abdominal wall provides strong, reliable tissue and a robust blood supply, but it can weaken the abdominal wall and raise the risk of a hernia or bulge.

In contrast, the DIEP flap spares the muscle by harvesting only skin and fat with perforating vessels; the latissimus dorsi flap relies on the back muscle; and the TUG flap uses tissue from the inner thigh and does not require sacrificing abdominal muscle.