This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Breast, Subject name: Surgery
Best myocutaneous flap for breast reconstruction: 
Select and explain. 
A. Pectoralis minor, B. Pectoralis major, C. Latissimus dorsi, D. Transverse rectus abdominis
D: Transverse rectus abdominis
Answer: D: Transverse rectus abdominis 
Explanation: Methods of breast reconstruction: Autogenous - tissues of the patient used to create a myocutaneous flap Eg: TRAM, LD Alloplastic - silicone implant Combined - uses TRAM + implant or LD + implant Most common method of breast reconstruction / augmentation worldwide: silicone implants. IOC for implant related complications: MRI Best method for breast reconstruction: DIEP > TRAM DIEP: deep inferior epigastric vessels flap TRAM: transverse rectus abdominal muscle LD: latissimus dorsi flap.