Re-exploration of vertical rectus abdominis myocutaneous flap for vaginal reconstruction: Case report and review of the literature

Joshua D. Rouch, Andrew Li, Joshua G. Cohen, Kevork K. Kazanjian, Jaco H. Festekjian

Research output: Contribution to journalArticle

Abstract

The vertical rectus abdominis myocutaneous (VRAM) flap is a versatile and well-established reconstructive technique for many defects created as a result of colorectal and gynecologic extirpation. However, major re-operation in the pelvis following a VRAM flap reconstruction several months later is uncommon, and the safety and integrity of the VRAM flap in this setting has not been described. This case examines VRAM flap preservation during repeat exploratory laparotomy, and a unique view of the VRAM flap during interval exploration. We demonstrate an intact flap after lysis of adhesions with an audible Doppler signal, and maintenance of flap integrity in the postoperative period. This further substantiates its use as a durable rotational flap for perineal tissue defects.

Original languageEnglish (US)
Pages (from-to)32-35
Number of pages4
JournalJPRAS Open
Volume15
DOIs
StatePublished - Mar 2018
Externally publishedYes

Keywords

  • Re-operation
  • Rotational flap
  • Vertical rectus abdominis myocutaneous flap
  • VRAM

ASJC Scopus subject areas

  • Surgery

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