Abstract

ABASCAL AMO, Ahora; JIMENO CALVO, Francisco A; ALONSO CASADO, Adolfo P  and  PEREZ DE LA FUENTE, Teresa. Vertical rectus abdominis myocutaneus flap (VRAM): pelvic, vaginal and perineal reconstruction following abdominoperineal resection. Cir. plást. iberolatinoam. [online]. 2019, vol.45, n.2, pp.183-187.  Epub Oct 14, 2019. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-789220190002000011.

After abdominoperineal resection of the rectum there are an increase in perineal wound complications due to neoadjuvant radiotherapy that alters healing and because of the wide excision required to obtain free margins.

We present a case of squamous cell carcinoma of the anal canal that infiltrates the posterior aspect of the vagina, that passes through the treatment with an abdominoperineal amputation with colpectomy and reconstruction of the vagina and perianal area with myocutaneous flap of the anterior rectus abdominis.

The postoperative evolution was favorable; there was no complication and the patiente presented a good quality of life.

Keywords : Vertical rectus abdominis myocutaneous flap; Abdominoperineal resection.

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