Perineal reconstruction using pedicled vertical rectus abdominis myocutaneous flap (VRAM)

2014 ◽  
Vol 110 (6) ◽  
pp. 752-757 ◽  
Author(s):  
Ahmed Touny ◽  
Haitham Othman ◽  
Sherif Maamoon ◽  
Samy Ramzy ◽  
Hamdy Elmarakby
Keyword(s):  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Perineal Reconstruction ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Vertical Rectus Abdominis Myocutaneous

scholarly journals Perineal reconstruction with pedicled rectus abdominis myocutaneous flap after posterior pelvic exenteration –A 3D model study

2021 ◽  
Vol 80 ◽  
pp. 105629
Author(s):  
Daiki Kitano ◽  
Takeo Osaki ◽  
Shunsuke Sakakibara ◽  
Tadashi Nomura ◽  
Kazunobu Hashikawa ◽  
...  
Keyword(s):  
3D Model ◽  
Pelvic Exenteration ◽  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Perineal Reconstruction ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Model Study

Outcome and Complications following Vertical Rectus Abdominis Myocutaneous Flap Surgery to Reconstruct Sacrectomy Defects

2018 ◽  
Vol 142 (5) ◽  
pp. 1327-1335 ◽  
Author(s):  
Matthew T. Houdek ◽  
Karim Bakri ◽  
Meagan E. Tibbo ◽  
Eric R. Wagner ◽  
Peter S. Rose ◽  
...  
Keyword(s):  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Flap Surgery ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Vertical Rectus Abdominis Myocutaneous

Recent Experience with Abdominal Perineal Resection with Vertical Rectus Abdominis Myocutaneous Flap Reconstruction after Preoperative Pelvic Radiation

2009 ◽  
Vol 75 (10) ◽  
pp. 995-999 ◽  
Author(s):  
Marcelo W. Hinojosa ◽  
Dhavan A. Parikh ◽  
Raman Menon ◽  
Garrett A. Wirth ◽  
Michael J. Stamos ◽  
...  
Keyword(s):  
Myocutaneous Flap ◽  
Perineal Wound ◽  
Rectus Abdominis ◽  
Wound Complications ◽  
Recent Experience ◽  
Flap Reconstruction ◽  
Pelvic Radiation ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Perineal Wound Complications ◽  
Vertical Rectus Abdominis Myocutaneous

Abdominoperineal resection (APR) after pelvic radiation can be complicated by an increased rate of difficult to treat perineal wound complications. In an effort to improve postoperative morbidity after APR, myocutaneous flap reconstructions have been used. We review our recent experience with APR with vertical rectus abdominis myocutaneous flap reconstruction (VRAM) after preoperative pelvic radiation. A retrospective review of patients who underwent APR with VRAM reconstruction after pelvic radiation from December 2004 to July 2008 was conducted. Outcome measures included demographics, comorbidities, length of stay, wound complications, and morbidity and mortality. Fifteen patients with a mean age of 61 ± 9 years underwent APR with VRAM reconstruction. Five patients also required posterior vaginectomy with the APR. Indications for APR were rectal cancer (n = 14, 93%) and anal canal cancer (n = 1, 7%). There were no intraoperative complications. Mean estimated blood loss was 635 ± 446 mL and mean intraoperative blood transfusion requirements were 1 ± 2 units. Mean length of hospital stay was 11 ± 4 days. Six (40%) patients had minor perineal wound complications. One (7%) patient had a perineal wound infection requiring reoperation with washout and reapproximation. There was no 30-day or in-hospital mortality. All VRAM flaps remained viable through follow-up. APR with VRAM flap reconstruction after preoperative pelvic radiation can be performed safely with limited wound complications and no mortality.

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