Reconstruction of extensive partial or total sacrectomy defects with a transabdominal vertical rectus abdominis myocutaneous flap.

摘要: Following partial or total sacrectomy, extensive soft tissue defects are frequently created. These ablations typically involve an anterior and a posterior approach, creating large communication between the abdominal cavity central gluteal region. Local flap options usually not sufficient for definitive closure of these defects. We have found that most useful option reconstruction in cases is vertical rectus abdominis myocutaneous (VRAM) flap, passed transabdominally through peritoneal into sacral defect during initial anterior-approach portion procedure then inset following completion posterior-approach final resection. Advantages VRAM it can supply ample skin, as well bulk, easy to perform, does require microvascular techniques. Utilizing prospectively maintained database, all patients over last 14 years who underwent utilizing transabdominal sacrectomy with intraabdominal were identified. A retrospective chart review was performed. Our study population consisted 12 mean age 58.5 years. flap. Flap sizes averaged 9.1 X 27 cm. Early complications included 3 small areas necrosis at distal, superior 2 which required minimal operative intervention debridement reclosure. No late occurred, completely healed, follow-up time 29.1 months. created area communicate cavity. In situations, we inferiorly-based pedicled VRAM, transabdominally, be reliable choice reconstruction. It has low incidence complications, morbidity, perform high success rate.