*The VRAM flap is commonly used for perineal and vaginal reconstruction at the time of pelvic exenteration.*Prolapse of the VRAM flap may be under reported.*We have shown successful repair of VRAM flap prolapse via an obliterative technique and sacral suspension.
Huffman, L. B., Randolph, L. K., McCann, G. A., Billingsley, C., Hopkins, M., Cohn, D. E., & Hundley, A. F. (2014). Options for repair of rectus abdominis myocutaneous perineal/vaginal flap prolapse: A case series. Gynecologic Oncology Reports, 7, 1–3. https://doi.org/10.1016/j.gynor.2013.10.001