Shane C. Kim, M.D. - Komenoregon.org
Shane C. Kim, M.D. - Komenoregon.org
Shane C. Kim, M.D. - Komenoregon.org
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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