Comparison of vertical and extended vertical rectus abdominis myocutaneous flaps. An anatomical study.

Autores de IIS La Fe

• Alberto Pérez García

  Autor

• Elena García Vilariño

  Autor

• Miriam Alonso Carpio

  Autor

• Alberto Sanchez Garcia

  Autor

• Eduardo García-Granero Ximénez

  Autor

Participantes ajenos a IIS La Fe

• Garcia-Granero, Alvaro
• Valverde-Navarro, Alfonso

Grupos

• Cirugía digestiva y Cuidados perioperatorios

  

  Leader

  Matteo Frasson

• Dermatología y Regeneración Tisular

  

  Leader

  Rafael Botella Estrada

Abstract

The extended vertical rectus abdominis myocutaneous (eVRAM) flap has been proposed for reconstruction of large pelviperineal defects where traditional VRAM flap could be insufficient. To compare the dimensions of VRAM and eVRAM flaps an anatomical study was performed. Ten VRAM and ten eVRAM flaps were dissected in ten fresh adult cadavers. Length, width and volume of all the flaps were measured. Length and volume were significantly larger in eVRAM flap compared to VRAM flap (36.55 cm vs. 30.15, p=.005; and 315.5 vs. 244 mL, p=.012, respectively). No differences were observed in flap width. The eVRAM flap could be a better option than traditional VRAM for reconstruction of big pelviperineal defects when bulkier tissue, larger skin paddle and/or longer arch of rotation are needed for reconstruction.

Keywords

• Perineal reconstruction; flaps; rectus abdominis myocutaneous flap