Highlights
Pedicled rectus abdominis myocutaneous flap was used for pelvic reconstruction.
The flap and vascular pedicle were passed through the shortest intra-pelvic path.
The shortest path passed between the bladder and pelvic wall.
Flap’s cranial side was assigned to the perineum and caudal side to pelvic floor.
Resected area dead space was filled with subcutaneous tissues of the flap.