When Coverage for a Defect Cannot Be Achieved Through Skin

question 20

Multiple Choice

When coverage for a defect cannot be achieved through skin grafting,plastic surgeons rely on other techniques to replace tissue.After mastectomy,reconstruction with a transverse rectus abdominis myocutaneous (TRAM) flap is one of several options for nonsynthetic prosthetic reconstruction.Another descriptive term for the TRAM flap is the:

• A) pedicle-based flap.
• B) free flap.
• C) composite flap.
• D) rotated tunneled flap.

---

Definitions:

Sale and Leaseback

Sale and leaseback is a financial transaction where one sells an asset and leases it back for the long-term; thereby, one continues to use the asset without owning it.

Financial Lease

A type of lease in which the lessee has use of an asset through most of its useful life and the lease payments cover the original cost of the asset plus interest, resembling a loan purchase.

Lessor

The party in a lease agreement who owns the leased asset and grants the lease to the lessee in exchange for periodic payments.

Leveraged Lease

A lease agreement wherein the lessee uses borrowed funds to lease an asset, allowing for tax benefits and potential gains on the lease.