# Vertical Rectus Abdominis Myocutaneous Flap for Reconstruction of Forequarter Amputation Defect after Shoulder Soft Tissue Sarcoma Resection: Technical Consideration
> Wahyudi M.

URL kanonis: https://discover.unhas.ac.id/publications/pub_scopus_85163338352
Jurnal / Konferensi: Plastic and Reconstructive Surgery Global Open
Tahun terbit: 2023
DOI: https://doi.org/10.1097/GOX.0000000000005077
ISSN: 21697574
Kuartil SJR: Q1
Citations: 2

## Authors
- Wahyudi M.

## Abstract
Forequarter amputations in advanced local malignancy or trauma cases often leave a large defect that is challenging to reconstruct. Options for defect closure are varied. A vertical rectus abdominis myocutaneous (VRAM) flap could be an alternative to close a significantly large defect, which is relatively easier than the more technically demanding free flap. This case presents a 64-year-old man with a soft tissue sarcoma in the left shoulder that was treated by forequarter amputation and subsequent defect closure using a VRAM flap. The VRAM flap was initially used to reconstruct the chest and abdominal walls. There have been no reported uses for the shoulder defect. The repair site defect was viable even with a less aesthetic donor site, and all of the defects were closed without any signs of infection. The VRAM flap is a good option for a large defect closure at the shoulder region, particularly after forequarter amputation.

## Keywords
- Surgery
- Medicine
- Amputation
- Soft tissue
- Soft tissue sarcoma
- Sarcoma
- Malignancy
- Pathology
- Internal medicine

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Sumber: Discover Unhas — RIMS Universitas Hasanuddin.
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