**3. Rectus abdominis myo-cutaneous flap**

*Introduction*: Rectus abdominis muscle can be harvested along with skin and subcutaneous tissue; either pedicle or free flap; either vertically oriented (VRAM) or transverse (TRAM) or either superiorly based or inferiorly based. The transverse rectus abdominis muscle (TRAM) flap became popular because of its obvious low donor site morbidity and lower abdominal tissue to be excised during abdominoplasty operation. TRAM flap was evolved in 1982 by Hartrampf as part of an abdominoplasty operation where the pannus is usually discarded but can be utilized for breast reconstruction preserving its blood supply and one rectus abdominis muscle [3].
