The TRAM flap ( Transverse Rectus Abdominis Myocutaneous flap ) procedure reconstructs the breast using an autologous flap of abdominal, cutaneous, and muscle tissues.

After mastectomy ( the removal of a diseased breast ), the reconstruction of the breast or breasts is done with breast implants or autologous tissue transfer, using fat and tissues from the abdomen, which is performed with a TRAM flap or with a back ( latissiumus muscle flap ).

Both TRAM and DIEP / SIEP use the abdominal tissue between the umbilicus and the pubis.

* 2009 Thomas Haggerty composed and produced ' Tram ' generations 1, 2 and 3 for the popular group TRAM.

It supported products from various manufacturers including INMOS ' TRAM systems, the Meiko CS, Parsytec MultiCluster and SuperCluster, and the Telmat T. Node.

** Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap ( Transverse Rectus Abdominis Myocutaneous flap ) or its technically distinct variants of microvascular " perforator flaps " like the DIEP / SIEP flaps.

The difference between the tickets is that a TRAM ticket provides access to the Montreal Metro or STM buses without any additional payment.

Regular users can get a TRAM Monthly Pass which allows for unlimited travel on any type of service within the zone indicated on the front of the card or a TRAIN monthly pass which is valid on the trains only.

The network is operated by TRAM like Trambaix, which runs to several municipalities in Baix Llobregat and the southwestern part of Barcelonès.

It is most often ( but not always ) implemented as specialized RAM ( TRAM ) that is designed for rapid reading and writing, enabling the graphics hardware increased performance in rendering 3D imagery.

In 1974, he graduated from U. S. Naval Test Pilot School and was assigned to the Strike Aircraft Test Directorate at NAS Patuxent River, Maryland, to work on the A-6E TRAM and Cruise missile guidance systems.

* TRAM flap, Transverse Rectus Abdominis Myocutaneous flap, a technique employed in surgical breast reconstruction

TRAM flap procedures may weaken the abdominal wall and torso strength, but are tolerated well in most patients.

Four adaptor molecules are known to be involved in signaling, which are Myd88, TIRAP, TRIF, and TRAM.

When expanded by adding a TRAM ( Texture RAM ) module to the board, the amount of texture memory can be increased to 4 MB.

Workers ' Youth Theatre, also known as TRAM ( the Russian acronym for " Teatr RAbochey Molodyozhi ") was a Soviet proletarian youth theatre of the late 1920s and early 1930s.

Tramvia Metropolità del Besòs, the TRAM company branch responsible for operating the system, ordered in 2002 the tram units that would be operated on Trambesòs fleet, which were exactly the same tram model used by the company on Trambaix.

The U. S. Navy used a similar variant in the carrier based A-6E / A-6E TRAM medium attack aircraft.

Lumbar puncture procedure, which is performed in many infectious disorders of the central nervous system is contraindicated in this condition ( as it is in all space-occupying lesions of the brain ) because removing a certain portion of the cerebrospinal fluid may alter the concrete intracranial pressure balances and causes the brain tissue to move across structures within the skull ( brain herniation ).

He had checked about 40 % of the unavoidability portion and found a significant error in the discharging procedure.

After a conservative procedure that attempts to preserve the affected fallopian tube such as a salpingotomy, in about 15-20 % the major portion of the ectopic growth may have been removed, but some trophoblastic tissue, perhaps deeply embedded, has escaped removal and continues to grow, generating a new rise in hCG levels.

At this time fountain pens were almost all filled by unscrewing a portion of the hollow barrel or holder and inserting the ink by means of an eyedropper — a slow and messy procedure.

In a small percentage of cases, a tubal ligation procedure leaves only the distal portion of the fallopian tube and no proximal tubal opening into the uterus.

Johnny and Jones again start the procedure, but find themselves helped by a mysterious artificial intelligence from Pharma-Kon's mainframe, providing the last portion of the password.

After the procedure the patient will be observed and monitored by a qualified individual in the endoscopy room or a recovery area until a significant portion of the medication has worn off.

This procedure entails eliminating the obstructive portion of the tonsil while preserving the tonsillar capsule.

The majority of patients tolerate this procedure very well and do not notice any shift between near and distance viewing, although a small portion of the population has trouble adjusting to the monovision effect.

An appreciable portion of the waste may be utilized during the holding period prior to commencement of the test procedure.

He was able to detach the portion of himself made by Hook and complete a complex surgical procedure on Jazz ( which put even Ratchet's skills to shame ).

The procedure involves removing the central portion of an intervertebral disc, the nucleus pulposus, which causes pain by stressing the spinal cord or radiating nerves.

Microdiscectomy is a minimally invasive surgical procedure in which a portion of a herniated nucleus pulpolsus is removed by way of a surgical instrument or laser while using an operating microscope or loupe for magnification.

Because prosthetic knees may wear out over time, an osteotomy procedure can enable younger, active osteoarthritis patients to continue using the healthy portion of their knee.

* An iridencleisis, or corenclisis, is a surgical procedure for glaucoma in which a portion of the iris is incised and incarcerated in a limbal incision.

* An iridesis is a surgical procedure in which a portion of the iris is brought through and incarcerated in a corneal incision in order to reposition the pupil.

The procedure involves transecting both the aorta and pulmonary artery ; the coronary arteries are then detached from the aorta and reattached to the neo-aorta, before " swapping " the upper portion of the aorta and pulmonary artery to the opposite arterial root.

The procedure usually involves a judicious excision / realignment of a portion of the bone and / or cartilage in the nasal cavity.

If there is a sufficient portion of the upper duodenum remaining a Billroth I procedure is performed, where the remaining portion of the stomach is reattached to the duodenum before the bile duct and the duct of the pancreas.

She devised a procedure known as the Strange Situation Protocol as the laboratory portion of her larger study, to assess separation and reunion behaviour.

The other portion of the bowel is either removed or sewn shut ( Hartmann's procedure ).

A capsulotomy ( rarely known as cystotomy ) is a procedure to open a portion of the lens capsule, using an instrument called a cystotome.

It usually is a quick outpatient procedure that uses a Nd-YAG laser ( neodymium-yttrium-aluminum-garnet ) to disrupt and clear the central portion of the opacified posterior lens capsule ( posterior capsulotomy ).