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KMID : 1144920210170020154
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Journal of Wound Management and Research
2021 Volume.17 No. 2 p.154 ~ p.157
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Vertical Rectus Abdominis Myocutaneous-Pedicled Island Flap for Covering Defect of the Suprapubic Area: A Case Report
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Yeo Hyun-Dong
Chung Jae-Ho
Park Seung-Ha
Lee Byung-Il
Yoon Eul-Sik
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Abstract
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Immediate reconstruction of defects in the lower abdomen is challenging. We present a successful reconstruction case using a vertical rectus abdominis myocutaneous (VRAM) flap for a radiation ulcer on the suprapubic area following radiation therapy for recurred malignant melanoma. Before flap elevation, we conducted sufficient debridement until pliable healthy tissue was revealed. Afterwards, a 15×9 cm VRAM flap was elevated. We then inserted the flap through a suprafascial tunnel. At 6 months postoperatively, a completely healed aesthetic flap was achieved. This case is meaningful in that it involves a successful reconstruction of a sizable abdominal wall defect of the suprapubic area with unhealthy and unviable adjacent tissue following repeated surgery and chemoradiotherapy.
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KEYWORD
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Surgical flaps, Rectus abdominis, Melanoma, Radiation ulcer
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