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

Authors

  • Alberto Pérez-García
  • Elena García-Vilariño
  • Álvaro García-Granero
  • Miriam Alonso-Carpio
  • Alberto Sánchez-García
  • Alfonso Valverde-Navarro
  • Eduardo García-Granero

DOI:

https://doi.org/10.1080/2000656X.2021.2024554

Abstract

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.

Downloads

Download data is not yet available.

Downloads

Published

2023-02-28

How to Cite

Pérez-García, A., García-Vilariño, E., García-Granero, Álvaro, Alonso-Carpio, M., Sánchez-García, A., Valverde-Navarro, A., & García-Granero, E. (2023). Comparison of vertical and extended vertical rectus abdominis myocutaneous flaps. An anatomical study. Journal of Plastic Surgery and Hand Surgery, 57(1-6), 153–156. https://doi.org/10.1080/2000656X.2021.2024554

Issue

Section

Articles