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%).
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