showed a trendP = 0.0806
However, muscle-sparing free TRAM flaps with medial row perforators showed a trend toward higher bulge rates compared with DIEP flaps ( P = 0.0806). 40 Hembd et al 41 reported that medial row perforators in DIEP flaps had the lowest bulge rates ( P = 0.05), whereas lateral row perforators minimized fat necrosis.