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

Annals of Plastic Surgery
Brian S GlattPeter Cordeiro

Abstract

Following partial or total sacrectomy, extensive soft tissue defects are frequently created. These ablations typically involve an anterior and a posterior approach, creating a large communication between the abdominal cavity and the central gluteal region. Local flap options are usually not sufficient for definitive closure of these large defects. We have found that the most useful option for reconstruction in these cases is a vertical rectus abdominis myocutaneous (VRAM) flap, passed transabdominally through the peritoneal cavity into the sacral defect during the initial anterior-approach portion of the procedure and then inset following completion of the posterior-approach final resection. Advantages of the VRAM flap are that it can supply ample skin, as well as soft tissue bulk, is easy to perform, and does not require microvascular techniques. Utilizing a prospectively maintained database, all patients over the last 14 years who underwent reconstruction utilizing a transabdominal VRAM flap following extensive partial or total sacrectomy with intraabdominal communication were identified. A retrospective chart review was then performed. Our study population consisted of 12 patients with a mean age of 58.5 years. Following sac...Continue Reading

References

Jan 1, 1988·Plastic and Reconstructive Surgery·G R Tobin, T G Day
Nov 14, 1997·Journal of Endourology·G L Mathes, L T Mathes
Oct 30, 1998·Biochemical and Biophysical Research Communications·R SawayaJ S Rao
Jun 14, 2000·Plastic and Reconstructive Surgery·W K MilesG L Robb
Aug 5, 2003·Annals of Plastic Surgery·Jose DiazSeth Thaller
Dec 17, 2003·Annals of Plastic Surgery·Edward Wayne BuchelCraig Johnson
Sep 8, 2004·Neurosurgical Focus·Ho-Yeol ZhangDaniel H Kim

❮ Previous
Next ❯

Citations

Jan 1, 2009·Plastic and Reconstructive Surgery·Rebecca A Nelson, Charles E Butler
Sep 28, 2010·Plastic and Reconstructive Surgery·Patrick B GarveyCharles E Butler
Nov 4, 2011·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Milenko Savić
Sep 23, 2009·Journal of Neurosurgery. Spine·Rajaraman RamamurthyDeiveegan Kunjithapatham
Jun 8, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Marco MaricevichSamir Mardini
May 27, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Antonio SoliniMauro Garino
Sep 2, 2014·Nuclear Medicine and Molecular Imaging·Inki LeeSang Eun Kim
Aug 25, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jose M LassoRosa Perez Cano
Oct 22, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Li WeiweiQiao Qun
Apr 29, 2008·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·K AbhinavA C V Montgomery
Apr 29, 2014·Neurological Research·Peter Paul VargaAron Lazary
Apr 29, 2014·Neurological Research·Peter Paul VargaAron Lazary
Dec 30, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J J VerlaanF C Oner
Mar 31, 2015·Journal of Neurosurgery. Spine·Jennifer E KimJustin M Sacks
Jul 18, 2016·Journal of the American College of Surgeons·Mansher SinghSimon G Talbot
Jan 24, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Terrence A CreaghFrank A Frizelle
Mar 1, 2012·Spine·Pietro RuggieriMario Mercuri
Jan 9, 2020·Clinical Spine Surgery : a Spine Publication·Roisin T DolanHenk P Giele
Jun 9, 2009·Diseases of the Colon and Rectum·Chucheep SahakitrungruangArun Rojanasakul
May 9, 2014·Diseases of the Colon and Rectum·John PangJustin M Sacks
Jan 8, 2009·Journal of Orthopaedic Surgery·Y W CheongA S Halim
Feb 9, 2019·Journal of Surgical Oncology·Matthew T HoudekUNKNOWN Other Members of the Sacral Tumor Society

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.