What is a VRAM flap?

The VRAM flap is preferred for pelvic reconstruction because it is a composite myocutaneous flap consisting of three layers: skin, subcutaneous fat, and muscle. This triple-layer anatomy makes the VRAM flap durable, and the flap can be used to cover skin defects.

What is VRAM reconstruction?

The vertical rectus abdominis myocutaneous (VRAM) flap is an established technique employed to reconstruct pelvic and perineal defects not amenable to primary closure.

What is pectoralis myocutaneous flap?

The pectoralis major myocutaneous (PMMC) flap has been used as a versatile and reliable flap since its first description by Ariyan in 1979. In India head and neck cancer patients usually present in the advanced stage making PMMC flap a viable option for reconstruction.

What is a pedicled muscle flap?

Listen to pronunciation. (PEH-dih-kul …) A type of surgery used to rebuild the shape of the breast after a mastectomy. Tissue, including skin, fat, and muscle, is moved from one area of the body, such as the back or abdomen, to the chest to form a new breast mound.

How long does it take to recover from TRAM flap surgery?

It can take about 6 to 8 weeks to recover from TRAM flap reconstruction surgery. Your doctor may recommend that you wear a compression girdle for up to 8 weeks after surgery.

How long does a pectoral flap take to heal?

You will need to follow the following guidelines until your incisions completely heal. This is usually 6 weeks after your surgery. Your doctor will tell you how long to follow these guidelines for.

What is Adipofascial flap?

The adipofascial flap provides suitable vascular tissue for fracture site healing or salvage of the exposed bone. When adipofascial tissue is transposed over the defect, the well-vascularised fascial tissue covers the exposed bone.

What happens after TRAM flap surgery?

Breast reconstruction with a flap is surgery to rebuild the shape of your breast after you’ve had part or all of your breast removed because of cancer. Right after the surgery, you will probably feel weak, and you may feel pain for 2 to 3 weeks. You will be sore in the breast and in the area where the flap was taken.

How is a vram flap identified in vaginal reconstruction?

When a VRAM flap is used to reconstruct the vagina, the flap may not be very noticeable at imaging. Regardless of its final pelvic location, the VRAM flap can be identified by tracing the DIEA vascular pedicle to the flap. An additional clue to the presence of a VRAM flap is the absence of the rectus abdominis muscle ( Figs 4, 5 ).

Does the VRAM flap atrophy over time?

the VRAM flap may atrophy over time and be re- placed by fat secondary to the muscle denervation that occurs during flap harvest (Fig 6). MR Imaging.— Postoperative MR imaging of the muscular portion of a VRAM flap initially

Is VRAM flap isointense relative to muscle?

Figure 7.  (a)Axial T1-weighted MR image of a 61- year-old man who had undergone pelvic exenteration and reconstruction with a VRAM flap for recurrent rectal cancer shows the VRAM flap (white arrow), which is isointense relative to muscle.

What is the role of VRAM in pelvic reconstruction?

Pelvic reconstruction with use of VRAM and omental pedicle flaps following pelvic exentera- tion or APR is an important part of the treatment of pelvic malignancy. Radiologists need to be familiar with the normal postoperative findings