European Journal of Plastic Surgery

, Volume 36, Issue 10, pp 669–670 | Cite as

Vaginal reconstruction with rectus abdominis myocutaneous flaps after abdominoplasty

  • Bryan J. Correa
  • Erik M. Wolfswinkel
  • William M. Weathers
  • Tue Dinh
Letter to the Editor


In vaginal reconstruction, autologous flaps can provide coverage of a critical wound and return of function, which significantly improves psychological well-being and quality of life. Many patients will have multiple reconstructive options for a vaginal defect; however, there are some cases where an ideal flap exists and the alternatives are either suboptimal or infeasible. We present a case to demonstrate the viability of performing a vertical rectus abdominis myocutaneous flap (VRAM) for vaginal reconstruction in a patient with a prior abdominoplasty.

A 61-year-old female with a history of recurrent vaginal cancer after primary resection and radiation therapy presented for functional vaginal reconstruction after total pelvic exenteration. The patient’s surgical history was significant for a full abdominoplasty with rectus plication and umbilical transposition 10 years prior to presentation. The considerable defect created by the pelvic exenteration (Fig.  1) required a large...


Myocutaneous Flap Pelvic Exenteration Reconstructive Option Skin Paddle Transverse Rectus Abdominis Myocutaneous 
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Conflict of interest



  1. 1.
    Moon HK, Taylor GI (1988) The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg 82(5):815–829PubMedCrossRefGoogle Scholar
  2. 2.
    O'Connell C, Mirhashemi R, Kassira N, Lambrou N, McDonald WS (2005) Formation of functional neovagina with vertical rectus abdominis musculocutaneous (VRAM) flap after total pelvic exenteration. Ann Plast Surg 55(5):470–473PubMedCrossRefGoogle Scholar
  3. 3.
    Mayr M, Holm C, Hofter E et al (2004) Effects of aesthetic abdominoplasty on abdominal wall perfusion: a quantitative evaluation. Plast Reconstr Surg 114(6):1586–1594PubMedGoogle Scholar
  4. 4.
    Hartrampf CR, Beckenstein MS (1995) The use of the transverse rectus abdominis musculocutaneous flap after abdominoplasty (discussion). Ann Plast Surg 35:411Google Scholar
  5. 5.
    Hasen KV, Chao JD, Fine NA (2002) Use of VRAM after abdominoplasty–can it be done safely? Plast Reconstr Surg 110(2):706PubMedGoogle Scholar
  6. 6.
    Al-Benna S, Al-Busaidi SS, Papadimitriou G et al (2009) Abdominoplasty consent forms do not caution against the potential loss of a reconstructive option for breast reconstruction. Plast Reconstr Surg 123(6):208e–209ePubMedCrossRefGoogle Scholar
  7. 7.
    Sozer SO, Cronin ED, Biggs TM et al (1995) The use of the transverse rectus abdominis musculocutaneous flap after abdominoplasty. Ann Plast Surg 35(4):409–411PubMedCrossRefGoogle Scholar
  8. 8.
    Roblin P, Ross DA (2005) Use of the vertical rectus abdominis myocutaneous flap after abdominoplasty. Br J Plast Surg 58(6):838–840PubMedCrossRefGoogle Scholar
  9. 9.
    Ribuffo D, Marcellino M, Barnett GR et al (2001) Breast reconstruction with abdominal flaps after abdominoplasties. Plast Reconstr Surg 108(6):1604–1608PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Bryan J. Correa
    • 1
  • Erik M. Wolfswinkel
    • 1
  • William M. Weathers
    • 1
  • Tue Dinh
    • 2
  1. 1.Division of Plastic Surgery, Michael E. Debakey Department of SurgeryBaylor College of MedicineHoustonUSA
  2. 2.Methodist Institute for Reconstructive Surgery, The Methodist HospitalWeill Cornell UniversityHoustonUSA

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