A modified bipedicle VRAM flap for simultaneous reconstruction of a perineal and posterior vaginal defect

Journal Article

© 2014, Springer-Verlag Berlin Heidelberg. The management of locally advanced pelvic tumors regularly requires radical surgical resection. The resection results in significant intrinsic and extrinsic pelvic defects. The advent of composite flaps has revolutionized vaginal and perineal reconstruction. Flaps provide bulky tissue to obliterate dead space, recruit vascularized tissue to an irradiated area and facilitate the skin closure. The authors present a modified vertical rectus abdominis myocutaneous (VRAM) flap for simultaneous reconstruction of a perineal and posterior vaginal defect following radical pelvic and abdominoperineal resection, based on two individual perforators off the inferior epigastric artery and vein with an excellent outcome. The English full-text version of this article is available at SpringerLink (under supplemental).

Full Text

Duke Authors

Cited Authors

  • Kokosis, G; Schmitz, R; Secord, AA; Havrilesky, LJ; Berchuck, A; Mantyh, CR; Erdmann, D

Published Date

  • January 1, 2014

Published In

Volume / Issue

  • 47 / 10

Start / End Page

  • 784 - 787

Electronic International Standard Serial Number (EISSN)

  • 1433-0393

International Standard Serial Number (ISSN)

  • 0017-5994

Digital Object Identifier (DOI)

  • 10.1007/s00129-014-3448-3

Citation Source

  • Scopus