Trilobed pedicled superior gluteal artery perforator flap for lumbosacral defect coverage

Background There are many available options for the coverage of lumbosacral area defects. Surgeons usually use the superior gluteal artery perforator flap (SGAP) by rotational fashion, which risks complications, such as wound dehiscence or skin necrosis at the Y‐point on the donor site due to the te...

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Bibliographic Details
Published in:Microsurgery 2017-11, Vol.37 (8), p.890-895
Main Authors: Kim, Ji Min, Lee, Jun Ho, Oh, Deuk Young, Moon, Suk‐Ho
Format: Article
Language:English
Subjects:
Aged
Buttocks - blood supply
Complications
Defects
Dehiscence
Female
Gangrene
Humans
Lumbosacral Region
Male
Medical personnel
Microsurgery
Middle Aged
Necrosis
Perforator Flap - blood supply
Pressure
Pressure Ulcer - pathology
Pressure Ulcer - surgery
Pressure ulcers
Reconstructive Surgical Procedures
Retrospective Studies
Sacrum
Skin
Soft Tissue Injuries - etiology
Soft Tissue Injuries - pathology
Soft Tissue Injuries - surgery
Tension
Treatment Outcome
Wound Healing
Wounds
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Summary:Background There are many available options for the coverage of lumbosacral area defects. Surgeons usually use the superior gluteal artery perforator flap (SGAP) by rotational fashion, which risks complications, such as wound dehiscence or skin necrosis at the Y‐point on the donor site due to the tension. In this report, the authors present the experience of using trilobed pedicled SGAP flaps in coverage of the lumbosacral area defects. Methods From 2011 to 2015, 16 trilobed pedicled SGAP flaps were performed for the coverage of sacral defects in our facility. The average defect sizes were 9.3 cm × 7.4 cm (ranging from 5 cm × 4 cm to 13 cm × 13 cm ). Trilobed flap were designed to include a reliable perforator vessel and rotated 90 degrees to the defect. All flaps included only one perforator vessel. Results The average of flap sizes were 15.9 cm × 9.2 cm (ranging from 10 cm × 20 to 5 cm × 15 cm). Two cases of minimal distal margin necrosis (
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.30172