Primary rectus abdominis myocutaneous flap for repair of perineal and vaginal defects after extended abdominoperineal resection

Abstract

The transpelvic rectus abdominis myocutaneous flap for the reconstruction of large perineal and vaginal wounds achieves wound healing with only moderate morbidity in the majority of patients after extensive abdominoperineal resection with or without radiotherapy.

Primary Abdominal Wall Reinforcement With Synthetic Mesh Following Harvesting Of Vertical Rectus Abdominis Myocutaneous Flaps In Multivisceral Pelvic Resections

“…Fisher's exact probability test Fisher's exact probability test (3,10,11,12). As shown in earlier investigations (9,13,14), a VRAM flap introduces wellvascularized tissue that fills the pelvic defect, providing structural support for internal organs and interposing healthy skin in the perineal wound. Maricevich et al (15) demonstrated that VRAM flaps represent a reliable option for reconstruction of the large-volume defects that arise after sacrectomies.…”

Benefits of Perineal Colostomy on Perineal Morbidity After Abdominoperineal Resection

“…A wide variety have been described for this purpose including rectus abdominis flaps and thigh flaps, which constitute the gracilis flap and gluteus maximus flaps most commonly. DISEASES OF THE COLON & RECTUM VOLUME 53: 9 (2010) Considering the most recent reports from high-volume expert centers, 30,31,33,35,36 in general, authors have reported favorably on perineal reconstruction by means of a flap. 37 However, concerns remain about these reconstruction techniques because of the risk of specific morbidity of the additional procedure that could outweigh its benefits.…”

Clinical Algorithms for the Surgical Management of Locally Recurrent Rectal Cancer

“…Bell and colleagues noted that only 20% of patients developed neovaginarelated complications after vaginal reconstruction. 51 Although many women chose not to have intercourse after surgery out of personal choice, neovaginal intercourse was feasible in a number of patients and self-reported as normal. 51 Ureteric reconstruction may be performed with either ileal or colonic conduits, although there is little evidence to distinguish between the two.…”

“…51 Although many women chose not to have intercourse after surgery out of personal choice, neovaginal intercourse was feasible in a number of patients and self-reported as normal. 51 Ureteric reconstruction may be performed with either ileal or colonic conduits, although there is little evidence to distinguish between the two. 20,52 A comparison between ileal and colonic conduits noted no difference in glomerular filtration rates or stenotic complications at the ureterointestinal anastomosis.…”