{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:48:47Z","timestamp":1756464527894,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 64-year-old woman with recurrence of carcinoma of the vulva in an irradiated area received an en-bloc total pelvic exenteration. Reconstruction of the pelvic defect was performed with an anterolateral thigh (ALT) flap and a rectus abdominis muscle (RAM) flap (PM\/RAM). This combination of flaps is unique, with excellent results.<\/jats:p>\n               <jats:p>In a large defect, often irradiated in advance, well-vascularised tissue should be placed. Multiple flaps can be used to reconstruct these large pelvic defects, each with their own advantages and disadvantages.<\/jats:p>\n               <jats:p>The combination of flaps used in this case uses the good properties of both flaps: the reliable and well-vascularised PM\/RAM in combination with the ALT flap to provide much bulk in extreme large defects.<\/jats:p>","DOI":"10.1136\/bcr.01.2011.3717","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T23:04:24Z","timestamp":1308351864000},"page":"bcr0120113717","source":"Crossref","is-referenced-by-count":2,"title":["Vulva reconstruction after pelvic exenteration, using a unique combination of two flaps"],"prefix":"10.1136","volume":"2011","author":[{"given":"Annelotte C M","family":"van Bommel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henk W R","family":"Schreuder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal P A","family":"Schellekens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,6,17]]},"reference":[{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.1","doi-asserted-by":"publisher","DOI":"10.1097\/00130404-200309000-00012"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.12.050"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.3","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1016\/j.jamcollsurg.2007.12.007","article-title":"Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects.","volume":"206","author":"Butler","year":"2008","journal-title":"J Am Coll Surg"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.10.011"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.5","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197608000-00006"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2007.00784.x"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.7","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000096451.86834.e5"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.8","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181bce334"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.9","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000189685.82616.59"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.10","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181b4bc70"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.11","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181bcf05c"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.12","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000263545.93039.86"},{"key":"2025082802133803000_2011.jun16_1.bcr0120113717.13","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000259076.16918.fa"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.01.2011.3717","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:13:41Z","timestamp":1756372421000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.01.2011.3717"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6,17]]},"references-count":13,"alternative-id":["10.1136\/bcr.01.2011.3717"],"URL":"https:\/\/doi.org\/10.1136\/bcr.01.2011.3717","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2011,6,17]]}}}