Laparoscopic perineal hernia repair using VRAM flap after extralevator abdominoperineal excision

Lyadov V.K.; Moskalenko A.N.; Nevrov A.S.

doi:https://doi.org/10.17116/plast.hirurgia202504163

Lyadov V.K.

Yudin Moscow City Clinical Hospital;
Russian Medical Academy for Continuous Professional Education;
Novokunetsk State Institute of Advanced Medical Training

ORCID: 0000-0002-7281-3591

Moskalenko A.N.

Yudin Moscow City Clinical Hospital

ORCID: 0000-0002-2499-6637

Nevrov A.S.

Pirogov Russian National Research Medical University

ORCID: 0009-0001-7054-9440

Laparoscopic perineal hernia repair using VRAM flap after extralevator abdominoperineal excision

Authors:

Lyadov V.K., Moskalenko A.N., Nevrov A.S.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2025;(4): 63‑67

DOI: 10.17116/plast.hirurgia202504163

Read: 264 times

To cite this article:

Lyadov VK, Moskalenko AN, Nevrov AS. Laparoscopic perineal hernia repair using VRAM flap after extralevator abdominoperineal excision. Plastic Surgery and Aesthetic Medicine. 2025;(4):63‑67. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202504163

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)

Использование инфографики авторами научных работ

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OBJECTIVE

To demonstrate laparoscopic perineal hernia repair using VRAM flap after previous extralevator abdominoperineal excision.

MATERIAL AND METHODS

A 60-year-old patient developed large perineal hernia in 6 months after extralevator laparoscopic abdominoperineal resection for lower rectum cancer T2N0M0. In 10 months after primary surgery, the patient underwent laparoscopic perineal hernia repair using VRAM flap.

RESULTS

Surgery time was 210 min, intraoperative blood loss — 50 ml. The patient was activated on the day of surgery. Postoperative period proceeded without complications. The patient was discharged in 7 days after surgery. There was no recurrence of hernia throughout 12 months.

CONCLUSION

Postoperative perineal hernias can be effectively repaired laparoscopically using VRAM flap.

Keywords:

rectal cancer

extralevator abdominoperineal resection

perineal hernia

VRAM flap

Authors:

Lyadov V.K.

Yudin Moscow City Clinical Hospital;
Russian Medical Academy for Continuous Professional Education;
Novokunetsk State Institute of Advanced Medical Training

ORCID: 0000-0002-7281-3591

Moskalenko A.N.

Yudin Moscow City Clinical Hospital

ORCID: 0000-0002-2499-6637

Nevrov A.S.

Pirogov Russian National Research Medical University

ORCID: 0009-0001-7054-9440

Received:

21.03.2025

Accepted:

20.04.2025

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References:

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