In recent times, vram flap has become increasingly relevant in various contexts. VRAM Flap - Indications, Anatomy, Technique (+ Images). The VRAM Flap is a Type III Mathes & Nahai myocutaneous flap. This article details its indications, anatomy, and surgical technique. Equally important, vertical Rectus Abdominis Musculocutaneous Flap - ScienceDirect.
The VRAM flap is a Mathes and Nahai Type III muscle flap with dual dominant pedicles from the superior and inferior epigastric systems. Its versatility and robustness has earned it a position as one of the workhorse flaps for plastic surgery reconstruction. Transverse Rectus Abdominis Myocutaneous Flap and Vertical Rectus .... VRAM Flap for Pelvic Floor Reconstruction after Pelvic Exenteration and ....
Furthermore, the VRAM flap remains the gold standard for autologous reconstruction after pelvic oncological resection; it was initially designed for abdominal wall defects and later expanded for large pelvic tissue defects. From another angle, perineal Reconstruction With an Extrapelvic Vertical Rectus Abdominis .... The vertical rectus abdominis myocutaneous (VRAM) flap, traditionally delivered to the perineum through an intraperitoneal transpelvic route, is a workhorse flap for combined pelvic and perineal defects because of its ability to provide substantial coverage of the perineum, reliable vascular supply, and larger volume to obliterate dead space. RECONSTRUCTIVE - University of Virginia School of Medicine. The extended VRAM flap design is supplied by the standard VRAM flap per-forator zone with the skin paddle, but not the underlying fascia, extending beyond the costal margin to the anterior axillary The aim of this study is to evaluate the clinical outcomes, risk factors for complications, and the utility of using mesh to prevent abdominal hernia.
When planning a procedure for perineal reconstruction, what are the indications for harvesting a VRAM flap? In brief, what is the effect of radiation-induced tissue damage on reconstructive surgical outcomes and, ultimately, on wound healing? A 69-year-old female with recurrent vaginal evisceration following colpocleisis underwent surgical repair using a vertical rectus abdominis myocutaneous (VRAM) flap.
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