The following is false in breast reconstruction:
A. TRAM flaps reduce abdominal wall strength compared with DIEP flaps with resultant detriment to activities of daily living and quality of lifeTRAM flaps reduce abdominal wall strength compared with DIEP flaps with resultant detriment to activities of daily living and quality of life. A is false. There is no evidence that the preservation of abdominal wall strength from DIEP flaps versus TRAM flaps translates to better maintenance of activities of daily living. Pedicled TRAM flaps are purported to have a higher incidence of flap necrosis and partial flap loss compared with free flaps. DIEP flaps are associated with less postoperative pain than TRAM flaps. There is no evidence than TRAM flaps result in abdominal hernias compared with DIEP flaps.