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(Top) Intraoperative situation after dissection of the MS-2-transverse rectus abdominis myocutaneous (TRAM) free flap with a vertical scar (*) after laparotomy and a lower horizontal scar after cesarean section. (Bottom) Intraoperative situation in which all 4 horizontal zones of the MS-2-TRAM free flap showed full clinical viability and perfusion distal to the midline vertical scar (*) (zones 2 and 4).
