Journal CME Article: Pelvic and Perineal Reconstruction-VRAM flap. Video 1 from “Pelvic and Perineal Reconstruction” October 2024

VRAM flap. Video 1 from “Pelvic and Perineal Reconstruction” October 2024 – 154 (4) CME

Video Transcription

Video Summary

The video demonstrates the technique of reconstructing posterior vaginal and APR defects using a vertical rectus abdominis myocutaneous flap in a patient who underwent APR and posterior vaginectomy for rectal cancer. The procedure ensures proper blood flow through inferior epigastric vessels, carefully preserves deep fascia, and involves detailed flap creation and inset to reconstruct the vagina and resurface the perineum. The flap is passed through the pelvis, twisted, and carefully laid to obstruct the pelvic inlet, preventing bowel herniation. The operation concludes with meticulous abdominal closure, ensuring stable and precise reconstruction outcomes.

Keywords

rectus abdominis flap

posterior vaginal reconstruction

APR defects

rectal cancer surgery

pelvic reconstruction