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Transverse rectus abdominus musculocutaneous (TRAM) flap breast reconstruction provides excellent cosmetic results. Pedicle flap viability is greatly enhanced by prereconstruction inferior epigastric vessel ligation, which encourages collateral arterial flow (delayed TRAM). We report our initial experience with laparoscopic inferior epigastric vessel ligation.

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Initial Experience With Laparoscopic Inferior Epigastric Vessel Ligation for Delayed Transverse Rectus Abdominus Musculocutaneous Flap Breast Reconstruction