The Use of Vertical Rectus Abdominis Myocutaneous Flap for Pelvic Reconstruction: What Are the Risk Factors for Complications?

Abstract

PURPOSE: Perineal and pelvic defects resulting from radical surgical resection, pelvic exenteration, sacrectomy, and recurrent cancer resections are frequently large and frequently present a reconstructive challenge. These defects often require flap reconstruction to close a large skin defect, obliterate the pelvic or sacrectomy cavities, or reconstruct the vaginal canal. One of the most common used flaps for pelvic reconstruction is the inferiorly based vertical abdominis myocutaneous (VRAM) flap. This flap has reliable vascularity and can be easily prepared, providing a potentially large amount of tissue. The aim of this study is to present a 25-year single institution experience with VRAM flaps for perineal and pelvic reconstruction and study risk factors associated with surgical complications.