Which reconstruction uses abdominal tissue supplied by the transverse rectus abdominis muscle?

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Multiple Choice

Which reconstruction uses abdominal tissue supplied by the transverse rectus abdominis muscle?

Flap choices for breast reconstruction are defined by where the tissue comes from and how it stays supplied with blood. The reconstruction that uses abdominal tissue supplied by the transverse rectus abdominis muscle is the TRAM flap. It harvests skin and fat from the lower abdomen along with a portion of the rectus abdominis muscle, drawing its blood supply from the transverse segment of that muscle. This creates a reliable myocutaneous flap that can recreate breast volume using tissue from the abdomen. DIEP flaps also use abdominal tissue but preserve the muscle, relying on perforator vessels from the deep inferior epigastric system rather than the muscle itself. Latissimus dorsi flaps use tissue from the back, not the abdomen, and implant reconstruction uses a prosthetic device rather than donor tissue.

Flap choices for breast reconstruction are defined by where the tissue comes from and how it stays supplied with blood. The reconstruction that uses abdominal tissue supplied by the transverse rectus abdominis muscle is the TRAM flap. It harvests skin and fat from the lower abdomen along with a portion of the rectus abdominis muscle, drawing its blood supply from the transverse segment of that muscle. This creates a reliable myocutaneous flap that can recreate breast volume using tissue from the abdomen.

DIEP flaps also use abdominal tissue but preserve the muscle, relying on perforator vessels from the deep inferior epigastric system rather than the muscle itself. Latissimus dorsi flaps use tissue from the back, not the abdomen, and implant reconstruction uses a prosthetic device rather than donor tissue.

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