فهرست نشریات علمی دسترسی آزاد ایران

The management of extensive perineal defects resulting from aggressive tumor resections, such asabdominoperineal resections for advanced pelvic malignancies, can be a complex and demanding process duringtreatment. The primary options for reconstructing perineal defects are vertical rectus abdominis myocutaneous(VRAM) and anterolateral thigh (ALT) flaps. While both flaps are commonly used in reconstructive surgery,VRAM is often preferred due to several advantages. These include the ability to provide ample tissue to filllarge perineal defects, as well as the convenience of harvesting this type of flap through a midline incision.This approach allows for a more cosmetically favorable scar location compared to other techniques. Overall,VRAM is a superior choice for perineal reconstruction due to its versatility and effectiveness in addressingcomplex defects. In this article, we describe our experience with utilizing a VRAM flap to close a 20×10 cmperineal defect that arose after an abdominoperineal resection performed due to extensive rectal melanoma in a46-year-old man. We found that the vertical VRAM flap was an exceptional choice for covering this substantialdefect in our patient.