Donor site morbidity of an islanded inferior gluteal artery myocutaneous flap with vascularized fascia lata

Flap Reconstruction of Perineal Defects after Pelvic Exenteration: A Systematic Description of Four Choices of Surgical Reconstruction Methods

“…Morrison et al reported dehiscence in three of 32 patients (9 percent) and infection and abscess in none. 59 Hainsworth et al reported pelvic abscess in one of 40 patients. 52 Most myocutaneous flaps included only the medial or upper one-third to one-half of the gluteal muscle.…”

“…Thirty-nine articles described 1460 patients with abdominal flap reconstruction, with the majority reporting on the vertical rectus abdominis musculocutaneous flap. 17–47 Fourteen articles described fasciocutaneous 18,47–53 or myocutaneous 54–59 gluteal flap reconstructions in 335 patients. Four studies reported on muscle or musculocutaneous gracilis flaps 28,60–62 and one study reported on vastus lateralis flaps with or without an anterolateral thigh 63 flap in a total of 95 patients.…”

“…Reasons for upgrading and downgrading (mostly for study limitations) are listed in Table 3. 1–91 One article was graded as high quality, seven articles were graded as low quality, and 50 articles were graded as very low quality. Three articles on vertical rectus abdominis musculocutaneous flap reconstruction showed a small relative risk on pelvic abscess compared to primary closure and were upgraded for a large magnitude of effect.…”