We present our experience with a previously described but infrequently used variation of the rectus abdominus myocutaneous flap. Skin paddles angled obliquely from the line of the rectus abdominus and towards the rib cage were successfully carried on peri-umbilical perforators from the inferior epigastric system. Skin paddle dimensions ranged from 6.5-12 cm in width and from 10 to 27 cm in length in 14 consecutive patients. In 6 of the 14 patients, the flap was used intra-abdominally to obliterate radiated pelvic defects and to close radiated vaginal defects. Five flaps were placed externally to repair radiated wounds of the perineum, thigh, and trunk, while the remaining 3 cases were performed as free tissue transfers. One cadaver injection study was performed to re-demonstrate the preferential flow of fluid in a superior-oblique direction from periumbilical perforators. Termed the “ORAM”, this flap variation has significant advantages in terms of ease of dissection and versatility over its flap cousins the VRAM and the TRAM.