Options for repair of rectus abdominis myocutaneous perineal/vaginal flap prolapse: A case series

Laura B Huffman; Laura K Randolph; Georgia A McCann; Caroline Billingsley; Michael P Hopkins; David E Cohn; Andrew F Hundley

doi:10.1016/j.gynor.2013.10.001

Options for repair of rectus abdominis myocutaneous perineal/vaginal flap prolapse: A case series

Gynecol Oncol Case Rep. 2013 Oct 16:7:1-3. doi: 10.1016/j.gynor.2013.10.001. eCollection 2014 Jan.

Authors

Laura B Huffman¹, Laura K Randolph², Georgia A McCann³, Caroline Billingsley³, Michael P Hopkins², David E Cohn³, Andrew F Hundley⁴

Affiliations

¹ Department of Obstetrics and Gynecology, The Wexner Medical Center at the Ohio State University, 395 West 12th Avenue, 5th Floor, Columbus, OH 43210, USA.
² Department of Obstetrics and Gynecology, Aultman Hospital, 2600 Sixth Street, Canton, OH 44710, USA.
³ Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center- Arthur G. James Cancer Hospital and Richard J. Solve Research Institute, 320 West 10th Avenue M210 Starling-Loving Hall, Columbus, OH 43210, USA.
⁴ Department of Obstetrics and Gynecology, Division of Urogynecology, The Wexner Medical Center at the Ohio State University, 395 West 12th Avenue, 5th Floor, Columbus, OH 43210, USA.

Abstract

•The VRAM flap is commonly used for perineal and vaginal reconstruction at the time of pelvic exenteration.•Prolapse of the VRAM flap may be under reported.•We have shown successful repair of VRAM flap prolapse via an obliterative technique and sacral suspension.

Keywords: Neovagina; Pelvic exenteration; Pelvic reconstruction; Prolapse; VRAM.