A transverse rectus abdominis myocutaneous (TRAM) flap for reconstruction of a large deformity in the buttock: a new indication for a TRAM flap

• Published in: Scandinavian journal of plastic and reconstructive surgery and hand surgery Vol. 39; no. 2; p. 95
• Main Authors: Gürlek, Ali, Demir, Canser Y, Askar, Ibrahim, Aydoğan, Hakan, Alaybeyoglu, Nezih, Coban, Y Kenan
• Format: Journal Article
• Language: English
• Published: England 01-04-2005
• Subjects: Adult; Buttocks - injuries; Esthetics; Female; Follow-Up Studies; Humans; Injury Severity Score; Reconstructive Surgical Procedures - methods; Rectus Abdominis - transplantation; Risk Assessment; Surgical Flaps; Treatment Outcome; Wound Healing - physiology
• ISSN: 0284-4311
• DOI: 10.1080/02844310410016844

A rectus abdominis myocutaneous flap has been used to repair the abdominal wall, chest wall, sternum, breast, and groin. We describe a patient in whom a large deformity in the buttock caused by a road crash was repaired with a transverse rectus abdominis myocutaneous (TRAM) flap. Distally-based TRAM flaps provide a good and reliable way of reconstructing the buttock. Its advantages are a long arc of rotation and well-vascularised bulky tissue that serve as a partition and promote quick healing of the defect. However, the flap is not the first choice for traumatic and infected wounds where fatty tissue is not desired.