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TRAM flap performed on a patient with a radiation-induced ulcer that developed after surgery for breast cancer. (A) Radiation-induced ulcer that developed after surgery for breast cancer. (B) Chest wall defect after resection. (C) Chest wall reconstruction using a composite mesh. (D) TRAM flap elevation. (E) Covering with alloplastic material using the island-type pedicled TRAM flap. (F) Final result. TRAM, transverse rectus abdominis myocutaneous.
