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Shane C. Kim, M.D. - Komenoregon.org

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Free flaps‐ Abdominal based<br />

• Includes more “tummy tuck flaps”:<br />

• Free TRAM<br />

• Muscle sparing free TRAM<br />

• DIEP<br />

• SIEA<br />

• Surgically disconnects flap and reconnects into new blood<br />

supply at mastectomy defect<br />

• Useful for irradiated patients<br />

• More technically demanding and labor intensive, but<br />

meaningful<br />

• Spares the abdominal wall morbidity (strength and<br />

integrity) depending on technique

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