Neoplastic, Inflammatory and Degenerative Conditions

Trunk and Perineal Reconstruction

Surgical Outcomes of VRAM versus Thigh Flaps for Immediate Reconstruction of Pelvic and Perineal Cancer Resection Defects

Nelson RA, Butler CE (Univ of Texas M. D. Anderson Cancer Ctr, Houston) Plast Reconstr Surg 123:175-183, 2009^§

Abstract

Background

Reconstruction following abdominoperineal resection or pelvic exenteration is commonly performed with regional flaps from the thigh or abdomen. This study compared the surgical outcomes and complications in cancer patients who underwent immediate reconstruction of these defects with vertical rectus abdominis myocutaneous (VRAM) versus thigh flaps.

Methods

One hundred thirty-three patients who underwent abdominoperineal resection or pelvic exenteration for cancer resection and immediate VRAM (n = 114) or thigh flap (n

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