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Decreasing Umbilical Necrosis in Transverse Rectus Abdominis Myocutaneous Flap Breast Reconstruction with Surgical Delay

Decreasing Umbilical Necrosis in Transverse Rectus Abdominis Myocutaneous Flap Breast Reconstruction with Surgical Delay

Andrew I.Elkwood, Paul J.Therattil, Hamid Abdollahi, Alexandra Clapp, Tushar R.Patel

Elevation of a transverse rectus abdominis musculocutaneous (TRAM) flap results in diminution of the blood supply to the umbilicus. Those at higher risk of partial or total umbilical loss are smokers, having more than double the rate of umbilical necrosis (27.5%) than nonsmokers (11.8%).

Official website: Decreasing Umbilical Necrosis in Transverse Rectus Abdominis Myocutaneous Flap Breast Reconstruction with Surgical Delay

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