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- W2001264577 abstract "Surgical delay is one method of enhancing the vascularity of the lower abdominal transverse rectus abdominis musculocutaneous (TRAM) flap. The outcome of 7 patients who underwent surgical delay (by ligating both superficial and deep inferior epigastric vessels bilaterally) a week prior to definitive TRAM flap elevation is described. Three patients were smokers, 3 were obese, and 1 was an asthmatic on medication. A satisfactory aesthetic result was achieved in all patients and the complications that occurred were minor. Two patients developed minor skin necrosis due to inadequate trimming of zone 4 on the contralateral side to the pedicle and there were 3 cases of fat necrosis, which occurred below Scarpa's fascia. Surgical delay is a useful technique of breast reconstruction. It allows the flap to be centered safely in the lower abdomen. In the high-risk patient, delay may prevent the need for microsurgery or the sacrifice of both recti." @default.
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- W2001264577 date "1996-03-01" @default.
- W2001264577 modified "2023-09-27" @default.
- W2001264577 title "The Surgically Delayed Unipedicled TRAM Flap for Breast Reconstruction" @default.
- W2001264577 doi "https://doi.org/10.1097/00000637-199603000-00002" @default.
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