If you are going to wash, spin, and cut up your own kale, add 5 minutes to the preparation time. You cook the kale at high pressure for 8 minutes but you have to wait for the cooker to come to pressure. My total preparation time and cooking time was 30 minutes. Clean up: Clean up was super easy for this recipe. I hand washed my pressure cooker making sure clean all of the valves and the rubber gasket.
Transverse rectus abdominis musculocutaneous flap. Dr Yuranga Weerakkody â and Radswiki et al. Transplantation of a transverse rectus abdominis myocutaneous (TRAM) flap is a commonly used surgical procedure for breast reconstruction following mastectomy.T. The shape of the TRAM flap is the same as that of the native breast. However, fat-attenuation is predominant within the TRAM flap at CT, as opposed to the irregular soft-tissue attenuation of fibroglandular tissue mixed with fat seen in the native breast.
The most common method of autogeneous tissue reconstruction is the pedicled transverse rectus abdominus myocutaneous (TRAM) flap. In this approach, the entire rectus abdominus muscle is used to carry the lower abdominal skin and fat up to the chest wall. A breast shape is then created using this tissue. In order to transfer the flap to the chest, the muscle is tunneled under the upper abdominal skin. Since the patientâs own body tissue is utilized, the result is a very natural breast reconstruction. Also, the patient will have the benefit of a flatter looking abdomen.