Objectives: Extended radical pelvic resection for advanced primary or recurrent pelvic malignancy is an increasingly common procedure in major colorectal units. Aggressive pre operative chemo‐radio therapy creates a cohort of patients with difficult reconstructive variables. We review our plastic surgical reconstructions in this highly heterogeneous population.Method: Utilizing the coding system at our institution we identified a cohort of patients whom underwent Vertical Rectus Abdominis Musculocutaneous (VRAM) reconstruction for exenterative pelvic surgery. A thorough retrospective case note analysis was performed specifically looking at three variable subsets.Demographic data and peri‐operative careReconstructive surgical procedures and complicationsTumour variables and patient survival outcomesResults: Statistical analysis of the patient cohort and subsets will be presentedConclusions: This study has demonstrated the versatility of the VRAM flap in obtaining a stable and supple reconstructive cover in advanced pelvic malignancy surgery. Our series confirms strong support for immediate VRAM reconstruction in all pelvic exenterative procedures. We have shown patients unde
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