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Related to epigastric artery: obturator artery, deep epigastric artery
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The free TRAM flap uses the same donor site as the pedicled TRAM flap but uses the dominant inferior epigastric artery as its blood supply.
The superior epigastric artery is off to the medial side, and the spleen to the other.
Mary's Medical Center now offer a new breast reconstruction procedure called Deep Inferior Epigastric Artery Perforation (DIEP) flap.