Vertical rectus abdominis myocutaneous flap cover for lower abdomen, chest wall, groin and thigh defects following resection of malignant tumours.

摘要: Vertical rectus abdominis mycutaneous (VRAM) flap provides a reliable cover for large soft tissue defects of chest wall, torso, groin, perineum and thigh. It has been mainly used in trauma benign conditions. Between January 1994 through 1999, eight patients with locally advanced malignant tumors underwent radical resection reconstruction using pedicled VRAM flap. Inferiorly based was five superiorly three patients. Defect size ranged from 144 to 900 CM2. (mean 386 cm2). Average blood loss combined 600ml. (range 400-800 ml.) Primary closure both donor recipient sites achieved all There no wound infection, necrosis or abdominal hernia. received postoperative radiotherapy chemotherapy two only. All the are alive free local recurrence at mean follow up 32 months. Results our study shows that is versatile sturdy wide rotation it can reach diverse anatomical like chestwall, thigh following tumors.