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Updated: Dec 24, 2025
11:12
In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
Published on: June 8, 2013
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The rectus abdominus myoperitoneal flap for vaginal reconstruction
Vishaal Gupta1, Genevieve K Lennox2, Allan Covens3
1Department of Obstetrics and Gynecology, University of Toronto, Toronto, Canada.
Gynecologic Oncology Reports
|April 16, 2020
Summary
Rectus abdominis myoperitoneal (RAMP) flaps are effective for partial vaginal defect reconstruction, leading to good outcomes. However, they are not recommended for circumferential defects due to high risks of vaginal stenosis and shortening.
Area of Science:
- Reconstructive surgery
- Gynecologic oncology
- Plastic surgery
Background:
- Vaginal reconstruction is crucial for quality of life after gynecologic cancer treatment.
- Rectus abdominis myoperitoneal (RAMP) flaps are a surgical option for vaginal reconstruction.
- Evaluating RAMP flap efficacy for different vaginal defect types is essential.
Observation:
- A literature review identified 21 RAMP flap cases for vaginal reconstruction.
- Eleven cases involved partial longitudinal defects, with no stenosis and 8 resuming sexual activity.
- Five circumferential and 5 unspecified defects showed high rates of vaginal stenosis.
Findings:
- At a single institution, 5 RAMP flap reconstructions were performed.
- Partial longitudinal defects had no complications, while circumferential defects had issues like fistula and shortening.
- RAMP flaps are suitable for partial longitudinal defects but carry risks for circumferential defects.
Implications:
- RAMP flaps show promise for partial vaginal defect reconstruction.
- The risk of vaginal stenosis and shortening limits RAMP flap use in circumferential defects.
- Further research may refine RAMP flap techniques for improved outcomes in complex cases.
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