scholarly journals Vertical Rectus Abdominis Myocutaneous-Pedicled Island Flap for Covering Defect of the Suprapubic Area: A Case Report

2021 ◽  
Vol 17 (2) ◽  
pp. 154-157
Author(s):  
Hyun-Dong Yeo ◽  
Jae-Ho Chung ◽  
Seung-Ha Park ◽  
Byung-Il Lee ◽  
Eul-Sik Yoon
Keyword(s):  
Abdominal Wall Defect ◽  
Rectus Abdominis ◽  
Lower Abdomen ◽  
Immediate Reconstruction ◽  
Wall Defect ◽  
Adjacent Tissue ◽  
Vram Flap ◽  
Repeated Surgery ◽  
Flap Elevation ◽  
Vertical Rectus Abdominis Myocutaneous

Immediate reconstruction of defects in the lower abdomen is challenging. We present a successful reconstruction case using a vertical rectus abdominis myocutaneous (VRAM) flap for a radiation ulcer on the suprapubic area following radiation therapy for recurred malignant melanoma. Before flap elevation, we conducted sufficient debridement until pliable healthy tissue was revealed. Afterwards, a 15×9 cm VRAM flap was elevated. We then inserted the flap through a suprafascial tunnel. At 6 months postoperatively, a completely healed aesthetic flap was achieved. This case is meaningful in that it involves a successful reconstruction of a sizable abdominal wall defect of the suprapubic area with unhealthy and unviable adjacent tissue following repeated surgery and chemoradiotherapy.

Sliding free transverse rectus abdominis myocutaneous flap for closure of a massive abdominal wall defect: A case report

Microsurgery ◽  
2018 ◽  
Vol 39 (2) ◽  
pp. 174-177 ◽  
Author(s):  
Annika Senghaas ◽  
Thomas Kremer ◽  
Volker J. Schmidt ◽  
Leila Harhaus ◽  
Christoph Hirche ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Myocutaneous Flap ◽  
Abdominal Wall Defect ◽  
Rectus Abdominis ◽  
Transverse Rectus Abdominis Myocutaneous ◽  
Wall Defect ◽  
Rectus Abdominis Myocutaneous Flap

scholarly journals The vertical rectus abdominis myocutaneous (VRAM) flap is the preferred means of post-mastectomy defect cover for large breast tumours

The Breast ◽  
2011 ◽  
Vol 20 ◽  
pp. S47-S48
Author(s):  
Tse Han Loong ◽  
Yia Swam Tan ◽  
Ern Yu Tan ◽  
Juliana Chen ◽  
Marcus Wong ◽  
...  
Keyword(s):  
Rectus Abdominis ◽  
Breast Tumours ◽  
Large Breast ◽  
Vram Flap ◽  
Defect Cover ◽  
Vertical Rectus Abdominis Myocutaneous

scholarly journals Rectus Abdominis Muscle Malignant Fibrous Histiocytoma Causing a Large Abdominal Wall Defect: Reconstruction with Biological Mesh

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Evangelos Falidas ◽  
Stavros Gourgiotis ◽  
Christina Goudeli ◽  
Stavros Mathioulakis ◽  
Konstantinos Vlachos ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Abdominal Wall ◽  
Malignant Fibrous Histiocytoma ◽  
Fibrous Histiocytoma ◽  
Abdominal Wall Defect ◽  
Biological Mesh ◽  
Rectus Abdominis ◽  
Abdominal Wall Defects ◽  
Rectus Abdominis Muscle ◽  
Wall Defect

Malignant fibrous histiocytoma (MFH) is a common soft tissue sarcoma usually involving limbs and retroperitoneum. MFH of the rectus abdominis muscle is extremely rare. Surgery in similar cases leads to large abdominal wall defects needing reconstruction. Biological and synthetic laminar absorbable prostheses are available for the repair of hernia defects in the abdominal wall. They share the important feature of being gradually degraded in the host, resulting the formation of a neotissue. We herein report the case of an 84-year-old man with MFH of the rectus abdominis muscle which was resected and the large abdominal wall defect was successfully repaired with a biological mesh.

scholarly journals Donor Site Morbidity of Patients Receiving Vertical Rectus Abdominis Myocutaneous Flap for Perineal, Vaginal or Inguinal Reconstruction

2020 ◽  
Vol 45 (1) ◽  
pp. 132-140
Author(s):  
Vera S. Schellerer ◽  
Lenka Bartholomé ◽  
Melanie C. Langheinrich ◽  
Robert Grützmann ◽  
Raymund E. Horch ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Myocutaneous Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Rectus Abdominis ◽  
Flap Reconstruction ◽  
Direct Closure ◽  
Vram Flap ◽  
Vertical Rectus Abdominis Myocutaneous

Abstract Background Management of donor site closure after harvesting a vertical rectus abdominis myocutaneous (VRAM) flap is discussed heterogeneously in the literature. We aim to analyze the postoperative complications of the donor site depending on the closure technique. Methods During a 12-year period (2003–2015), 192 patients in our department received transpelvic VRAM flap reconstruction. Prospectively collected data were analyzed retrospectively. Results 182 patients received a VRAM flap reconstruction for malignant, 10 patients for benign disease. The median age of patients was 62 years. 117 patients (61%) received a reconstruction of donor site by Vypro® mesh, 46 patients (24%) by Vicryl® mesh, 23 patients (12%) by direct closure and 6 patients (3%) by combination of different meshes. 32 patients (17%) developed in total 34 postoperative complications at the donor site. 22 complications (11%) were treated conservatively, 12 (6%) surgically. 17 patients (9%) developed incisional hernia during follow-up, with highest incidence in the Vicryl® group (n = 8; 17%) and lowest in the Vypro® group (n = 7; 6%). Postoperative parastomal hernias were found in 30 patients (16%) including three patients with simultaneous hernia around an urostomy and a colostomy. The highest incidence of parastomal hernia was found in patients receiving primary closure of the donor site (n = 6; 26%), the lowest incidence in the Vypro® group (n = 16; 14%). Conclusion The use of Vypro® mesh for donor site closure appears to be associated with a low postoperative incidence of complications and can therefore be recommended as a preferred technique.

scholarly journals Cadaver as an experimental a model for the study of midline incisional hernia

2011 ◽  
Vol 26 (4) ◽  
pp. 310-313 ◽  
Author(s):  
Romar Ângelo Barbato Silveira ◽  
Fábio Xerfan Nahas ◽  
Bernardo Hochman ◽  
Felix Carlos Ocariz Bazzano ◽  
Carlos Roberto Amorim ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Tensile Force ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
Wall Defect ◽  
Linea Alba ◽  
Force Application ◽  
Tensile Forces

PURPOSE: To describe a cadaver model and to compare different techniques to correct midline incisional hernia using the tension at the musculoaponeurotic layer as a parameter. METHODS: Twenty-four male cadavers were used to characterize the model. The tensile force applied to the anterior layers of the rectus abdominis muscle was measured after the linea alba was resected to create an abdominal wall defect. A dynamometer was used to measure the tensile force necessary to cause a 10-mm displacement of the tissues towards the midline. An index that allows comparison of tensile forces from different points was calculated by dividing the tensile force by the distance between the point of force application at the aponeurosis and the midline. RESULTS: Cadaver is a good model for the study of midline incisional hernia. CONCLUSION: Cadaver can be used effectively as a model to evaluate tension of the abdominal wall when tissue advancement and musculoaponeurotic flaps are performed in the repair of midline incisional hernia.

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