A hundred patients with vertical rectus abdominis myocutaneous (VRAM) flap for pelvic reconstruction after total pelvic exenteration

2014 ◽  
Vol 29 (7) ◽  
pp. 813-823 ◽  
Author(s):  
R. E. Horch ◽  
W. Hohenberger ◽  
A. Eweida ◽  
U. Kneser ◽  
K. Weber ◽  
...  
Keyword(s):  
Pelvic Exenteration ◽  
Rectus Abdominis ◽  
Pelvic Reconstruction ◽  
Total Pelvic Exenteration ◽  
Vram Flap ◽  
Vertical Rectus Abdominis Myocutaneous

Formation of Functional Neovagina With Vertical Rectus Abdominis Musculocutaneous (VRAM) Flap After Total Pelvic Exenteration

2005 ◽  
Vol 55 (5) ◽  
pp. 470-473 ◽  
Author(s):  
Christopher O??Connell ◽  
Ramin Mirhashemi ◽  
Noor Kassira ◽  
Nicholas Lambrou ◽  
W Scott McDonald
Keyword(s):  
Pelvic Exenteration ◽  
Rectus Abdominis ◽  
Total Pelvic Exenteration ◽  
Vram 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 The Use of Vertical Rectus Abdominis Myocutaneous Flap for Pelvic Reconstruction

2019 ◽  
Vol 7 ◽  
pp. 75
Author(s):  
Lucas Kreutz-Rodrigues ◽  
Joseph Banuelos ◽  
Humza Y. Saleem ◽  
Andrew M. Mills ◽  
Nho Van Tran ◽  
...  
Keyword(s):  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Pelvic Reconstruction ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Vertical Rectus Abdominis Myocutaneous

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 Use of bakri balloon catheter and pedicled omental flap in combination for pelvic reconstruction after total pelvic exenteration

2021 ◽  
Author(s):  
samin almassian
Keyword(s):  
Cervical Cancer ◽  
Pelvic Exenteration ◽  
Balloon Catheter ◽  
Omental Flap ◽  
Advanced Cervical Cancer ◽  
Pelvic Reconstruction ◽  
Total Pelvic Exenteration ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Bakri Balloon

Our case was a middle-aged woman with advanced cervical cancer that underwent pelvic exenteration (PE) and then pelvic reconstruction (PR) with omental flap and bakri balloon placement.

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