Current Role of Pedicled Transverse Rectus Abdominis Myocutaneous Flap in Breast Reconstruction: Review and Case Reports

The pTRAM flap remains a reliable and accessible choice for breast reconstruction, particularly in patients or settings where microsurgery is not feasible. Although deep inferior epigasetric perforator flaps provide superior muscle preservation, the pTRAM combines speed, safety, and predictable results, maintaining a significant role in modern reconstructive practice. Mastery of this technique facilitates the transition to advanced microsurgical procedures.