Transverse abdominis musculo-peritoneal (TRAMP) flap for the repair of large duodenal defects

Wen Yao Yin, Shih Ming Huang, Tsai Wang Chang, Pin Wen Lin, Yung Hsiang Hsu, Kai Chao, Bo Wen Tsai

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Definitive surgical management of major acute injuries to the second and third portions of the duodenum has been enigmatic. Sometimes, the defect is so large that it is unwise to do primary repair, and resection at this critical portion of the intestinal tract is technically hazardous or impossible. A serosal or mucosal patch technique has been used to repair this kind of duodenal defect with encouraging results. Since the use of this technique has proved effective, such a defect was not necessarily treated with the more complicated pancreaticoduodenectomy and was managed with less morbidity and mortality. But these techniques are still controversial. So, we tried a pedicle flap, called the transverse abdominis musculo-peritoneal (TRAMP) flap, for repair of large duodenal defect. We have used this flap in 25 rabbits, and the specimens were followed up to a period of 3 months. The flap showed satisfactory results and is presented as another option for repair of large duodenal defects.

Original languageEnglish
Pages (from-to)973-976
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Issue number6
Publication statusPublished - 1996 Jun 1

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine

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