Bibliographic Details
| Title: |
Versatilidad del colgajo vertical de músculo recto abdominal (VRAM) para reconstrucciones complejas de zona perineal y torácica. Serie de casos. |
| Alternate Title: |
Versatility of the vertical rectus abdominis muscle flap (VRAM) for complex perineal and thoracic reconstructions. Case series. |
| Authors: |
Obaíd-García, Miguel L.1 miguel.obaid.g@gmail.com, Z., Mariana Paz Matamoros1, C., Fernanda Paz Loyola1, Grasset-Escobar, Eugenio2, Cheyre-Forestier, Juan Emilio3, Camacho-Martino, Juan Pablo1 |
| Source: |
Revista de Cirugia. 2026, Vol. 78 Issue 3, p335-341. 7p. |
| Abstract (English): |
Objective: To describe our experience with VRAM flaps in complex thoracic and perineal reconstructions. Materials and Methods: Multicenter case series of five patients undergoing complex reconstruction: two involving the chest wall and three involving the perineal region. Surgical indication, technique employed, early postoperative course, and complications were recorded. Long-term satisfaction was assessed through a patient survey. Results: No signs of flap compromise were observed. In the recipient site, three infections, two wound dehiscence, and two seromas occurred; at the donor site, one incisional hernia was reported. The mean operative time was 4 hours, and the average hospital stay was 21 days. All flaps maintained long-term viability. Patients undergoing perineal reconstruction reported persistent pain or discomfort, with a significant impact on quality of life. Discussion: In this small series, the VRAM flap behaved as a useful and versatile option for the reconstruction of extensive perineal and chest wall defects, although it was associated with relevant morbidity and the results should be interpreted with caution. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Objetivo: Describir la experiencia en el uso de colgajos VRAM para reconstrucciones complejas torácicas y perineales. Materiales y Métodos: Serie de casos multicéntrica de cinco pacientes sometidos a reconstrucción compleja: dos en pared torácica y tres en región perineal. Se registró la indicación quirúrgica, técnica empleada, evolución postoperatoria temprana y complicaciones. A largo plazo se evaluó satisfacción mediante encuesta. Resultados: No se observaron signos de sufrimiento de colgajo. En el sitio receptor se presentaron tres infecciones, dos dehiscencias y dos seromas; en el sitio donante, una hernia incisional. El tiempo quirúrgico promedio fue de 4 horas y la estadía hospitalaria media de 21 días. Todos los colgajos mantuvieron su vitalidad a largo plazo. Los pacientes con reconstrucción perineal reportaron dolor o molestias persistentes, con impacto relevante en su calidad de vida. Discusión: En esta pequeña serie, el colgajo VRAM se comportó como una técnica útil y versátil para defectos extensos en región perineal y pared torácica, con alta tasa de supervivencia y aplicabilidad en escenarios complejos. Sin embargo, aunque se asoció a morbilidad relevante, sus resultados deben interpretarse con cautela. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
