Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects.

@article{Butler2008OutcomesOI,
  title={Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects.},
  author={Charles E. Butler and Ayşe Ozlem G{\"u}ndeşlioğlu and Miguel Rodriguez-Bigas},
  journal={Journal of the American College of Surgeons},
  year={2008},
  volume={206 4},
  pages={694-703}
}
BACKGROUND Perineal wound complications after chemoradiotherapy and abdominoperineal resection (APR) for anorectal cancer occur in up to 60% of patients, including perineal abscess and wound dehiscence. Vertical rectus abdominis myocutaneous (VRAM) flaps have been used in an attempt to reduce these complications by obliterating the noncollapsible dead space with vascularized tissue and closing the perineal skin defect with nonirradiated flap skin. Many surgeons are reluctant to use VRAM flaps… CONTINUE READING
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