A hundred patients with vertical rectus abdominis myocutaneous (VRAM) flap for pelvic reconstruction after total pelvic exenteration

摘要: We analysed the outcomes of a series 100 consecutive patients with anorectal cancer neoadjuvant radiochemotherapy and abdominoperineal exstirpation or total pelvic exenteration, who received transpelvic vertical rectus abdominis myocutaneous (VRAM) flap for pelvic, vaginal and/or perineal reconstruction compare cohort to without VRAM flaps. Within 10-year period (2003–2013) in our institution 924 rectal stage y0 y IV were surgically treated. Data those collected compared In flaps, major donor site complications occurred 6 %, VRAM-specific wound observed 11 % overall 30-day mortality was 2 %. The is reliable safe method advanced disease requiring exenteration irradiation, relatively low rate recipient complications. this first study, large number reconstruction, clear advantage simultaneous demonstrated.