Versatility of Gluteal Arteries Perforator Flaps (for Local Coverage) Relative to Defect Size, Site, and Different Pathological Conditions | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 7, Volume 44, Issue 4, October 2020, Pages 513-518 PDF (11.7 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2020.140019 | ||
| Authors | ||
| Mina Agaiby Estawrow* ; Sarah Abdel Azim Abdel Maksoud Farag | ||
| The Department Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Background: Superior and inferior gluteal artery perforator flaps have evolved in the last few decades for both free and local tissue transfer because of having the advantages of being voluminous with a relatively inconspicuous donor site. Therefore focusing on the details of such a reconstructive procedure would be of importance when thinking of skin defect coverage in the lower back, gluteal, and upper thigh areas. Patients and Methods: This study was done on 14 cases, 10 of them had defects due to pressure sores, and 4 cases due to other inflammatory and neoplastic conditions. All cases were done by the same surgical team with a follow-up period ranging from 2 to 18 months. Results: Thirteen out fourteen flaps (92%) passed completely and uneventfully with no need for additional surgery throughout eighteen months of follow-up. However, two cases developed wound dehiscence that required secondary sutures to one of them, two cases developed seroma, and one case developed partial flap loss which re-advanced by V-Y technique. Conclusion: The superior and inferior gluteal artery perforator flaps are versatile versatilereconstructive coverage to gluteal defects of different size, site and pathology. They are easy to perform; suitable for large defect reconstruction of the lower back, buttock, and upper thigh areas. | ||
| Keywords | ||
| Gluteal arteries; Perforators; Reconstruction | ||
| References | ||
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L.L.Q. Pu: “Reconstruction of a large gluteal soft-tissue defect with the double-opposing V-Y fasciocutaneous advancement flap”, Plastic and Reconstructive Surgery, Vol. 119, No. 2, pp. 599-603, 2007. 2- Borman H. and Maral T.: The gluteal fasciocutaneous rotation advancement flap with V-Yclosure in the management of sacral pressure sores. Plast. Reconstr. Surg., 109: 2325-2329, 2002. 3- Kim J.T., Kim Y.H. and Naidu S.: Perfecting the design of the gluteus maximus perforator-based island flap for coverage of buttock defects. Plast. Reconstr. Surg., 125: 1744-1751, 2010. 4- Fujino T., Harasina T. and Aoyagi F.: Reconstruction for aplasia of the breast and pectoral region by microvascular transfer of a free flap from the buttock. Plast. Reconstr. Surg., 56: 178-181, Perforator flaps page 486, 1975. 5- Koshima I. and Soeda S.: Inferior epigastric artery skin flap without rectus abdominus muscle. Br. J. Plast. Surg., 42: 645, 1989. 6- Steven F. Morris and G. Ian Taylor: Chapter 23; Vascular territories, Neligan Plastic Surgery, third edition, page 505, 2012. 518 Vol. 44, No. 4 / Versatility of Gluteal Arteries Perforator Flaps 7- Geddes C.R., Tang M., Morris S.F. and Yang D.: Anatomy of the Integument of the Lower Extremity, Chapter 30, Perforator flaps: Anatomy, Technique, and Surgical Applications, page 546, 2006. 8- J.R. Higgins, G.S. Orlando and P.N. Blondeel: Ischial pressure sore reconstruction using an inferior gluteal artery perforator (IGAP) flap. British Journal of Plastic Surgery, 2002. 9- O. Koray Cos¸kunfırat, M.D. and H. Ege Özgentas¸, M.D. Antalya, Turkey. Gluteal Perforator Flaps for Coverage of Pressure Sores at Various Locations. PRS, 2003. 10- Oliver Scheufler, M.D., Jian Farhadi, M.D., Steven J. Kovach, M.D., Sebastian Kukies, M.D., Gerhard Pierer, M.D., Ph.D., L. Scott Levin, M.D., Detlev Erdmann, M.D., Ph.D., Basel and Nottwil, Switzerland and Durham N.C.: Anatomical Basis and Clinical Application of the Infragluteal Perforator Flap. Plastic and Reconstructive Surgery, November 2006. 11- Chin-Ta Lin, Nian-Tzyy Dai, Shun-Cheng Chang, Shyi- Gen Chen, Tim-Mo Chen, Hsian-Jenn Wang, Yuan-Sheng Tzeng. Ten-year Experience of Superior Gluteal Artery Perforator Flap for Reconstruction of Sacral Defects in Tri-Service General Hospital. J. Med. Sci. J. Med. Sci., 2014. 12- Verpaele A.M., Blondeel P.N., Van Landuyt K., Tonnard P.L., Decordier B., Monstrey S.J., et al.: The Superior Gluteal Artery Perforator Flap: An Additional Tool in the Treatment of Sacral Pressure Sore. British Journal of Plastic Surgery, 52: 385-91, | ||
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