INFERIORLY BASED VERTICAL RECTUS ABDOMINIS MYOCUTANEOUS (VRAM) FLAP FOR RECONSTRUCTION OF LARGE DEFECT AFTER WIDE EXCISION OF SOFT TISSUE SARCOMA IN PUBIC REGION

Malignant fibrous histiocytoma is the commonest form of adult soft tissue sarcomas, albeit very few cases have been reported arising in the pubic region. Large defect resulting after extirpation of such tumors pose a problem in their reconstruction. Wound closure with well vascularized tissue (flaps) is most suitable, which leads to early recuperation and avoids delay in instituting postoperative radiotherapy. We report a case in which a 42 years old lady presented with a large pubic region growth. We present this case firstly because sarcoma in pubic region is rare and secondly we use VRAM flap (Reversed TRAM flap) for reconstruction of large defect after wide local excision of the tumor, which is simple to execute with good functional outcome.