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Extended Skin Island Delay of the Unipedicle TRAM Flap: Experience in 35 Patients.

Jensen, J. Arthur M.D.; Handel, Neal M.D.; Silverstein, Melvin J. M.D.; Waisman, James M.D.; Gierson, Eugene D. M.D.
Plastic & Reconstructive Surgery:

A technique to surgically delay a single-pedicle TRAM flap is described. This extended skin island delay essentially divides the unipedicle TRAM flap into two stages separated by 1 week. Experience with this flap in 35 patients is reported. On the basis of this experience, we believe that the extended skin island delayed TRAM flap should be considered a safe and reliable alternative to double muscle pedicle and free tissue transfer in high-risk patients.

(C)1995American Society of Plastic Surgeons