Figure 6

TRAM flap construction for total pelvic exenteration combined with bilateral inguinal lymphadenectomy (Appearance of the flap in position). (Reprinted with permission Springer-Verlag Publishers) from Zbar AP, Nishikawa H, Beer-Gabel M (2001) BeerGabel M. Use of the V-RAM flap in reconstruction after total pelvic exenteration for recurrent vulval cancer involving the anal sphincter. Techn Coloproctol 5: 66)