<prompt> Which of the following flap is most commonly used in breast reconstructionSerratus anteriorTRAMFlap from armDelto pectoral flap  <response>: Transverse rectus abdominis myocutaneous flapTRAM is used. TRAM flap is based on superior epigastric aery. Ipsilateral or contralateral flap can be used. It gives the bulk needed for reconstruction and so implant is not needed. Donor site morbidity and fat necrosis can occur. LD flap latissimus dorsi musculocutaneous flap can also be used. It is based on subscapular aery. Easy to perform unlike TRAM flap. Reference: SRBs Manual of Surgery, 6th Edition page no 553. 