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

Publication ,  Journal Article
Kokosis, G; Schmitz, R; Secord, AA; Havrilesky, LJ; Berchuck, A; Mantyh, CR; Erdmann, D
Published in: Gynakologe
October 14, 2014

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.

Duke Scholars

Published In

Gynakologe

DOI

EISSN

1433-0393

ISSN

0017-5994

Publication Date

October 14, 2014

Volume

47

Issue

10

Start / End Page

784 / 787

Related Subject Headings

  • Obstetrics & Reproductive Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kokosis, G., Schmitz, R., Secord, A. A., Havrilesky, L. J., Berchuck, A., Mantyh, C. R., & Erdmann, D. (2014). A modified bipedicle VRAM flap for simultaneous reconstruction of a perineal and posterior vaginal defect. Gynakologe, 47(10), 784–787. https://doi.org/10.1007/s00129-014-3448-3
Kokosis, G., R. Schmitz, A. A. Secord, L. J. Havrilesky, A. Berchuck, C. R. Mantyh, and D. Erdmann. “A modified bipedicle VRAM flap for simultaneous reconstruction of a perineal and posterior vaginal defect.” Gynakologe 47, no. 10 (October 14, 2014): 784–87. https://doi.org/10.1007/s00129-014-3448-3.
Kokosis G, Schmitz R, Secord AA, Havrilesky LJ, Berchuck A, Mantyh CR, et al. A modified bipedicle VRAM flap for simultaneous reconstruction of a perineal and posterior vaginal defect. Gynakologe. 2014 Oct 14;47(10):784–7.
Kokosis, G., et al. “A modified bipedicle VRAM flap for simultaneous reconstruction of a perineal and posterior vaginal defect.” Gynakologe, vol. 47, no. 10, Oct. 2014, pp. 784–87. Scopus, doi:10.1007/s00129-014-3448-3.
Kokosis G, Schmitz R, Secord AA, Havrilesky LJ, Berchuck A, Mantyh CR, Erdmann D. A modified bipedicle VRAM flap for simultaneous reconstruction of a perineal and posterior vaginal defect. Gynakologe. 2014 Oct 14;47(10):784–787.
Journal cover image

Published In

Gynakologe

DOI

EISSN

1433-0393

ISSN

0017-5994

Publication Date

October 14, 2014

Volume

47

Issue

10

Start / End Page

784 / 787

Related Subject Headings

  • Obstetrics & Reproductive Medicine