The Gluteal Fasciocutaneous Rotation-Advancement Flap with V-Y Closure in the Management of Sacral Pressure Sores

The purpose of this study was to study the clinical effect of split gluteus maximus muscle-adipofascial turnover flap and tension-reducing suture in the treatment of decubitus ulcers. Thirty-one cases of sacrococcygeal decubitus ulcers were repaired by split gluteus maximus muscle-adipofascial turnover flap. The surface of flaps ranged from 5 3 6 cm to 7 3 8 cm. The skin was then closed, primarily using subcutaneous tension-reducing suture. Eighty-eight percent of the flaps (27 of 31) healed primarily. The split gluteus maximus muscle-adipofascial turnover flap and tension-reducing suture technique was found to be a highly efficient method of repairing decubitus ulcers with a relatively low ratio of recurrence.

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“…[8][9][10] But the mobility of the flaps is limited, and a skin graft is usually required for the donor site.…”

Section: -7mentioning

confidence: 99%

Application of Split Gluteus Maximus Muscle–Adipofascial Turnover Flap and Subcutaneous Tension-Reducing Suture Technique in Repair of Decubitus Ulcers

Liang

Zhou

Zhao

2014

International Surgery

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“…Existen también casos de uso de colgajos pediculados y de colgajos al azar para cubrir defectos lumbosacros (2,(4)(5)(6)(7)(8)(9).…”

Section: Introductionunclassified

Colgajo bilateral de perforantes lumbares para reconstrucción glútea tras infiltración por modelantes

Gordillo-Hernández¹,

Torres-Baltazar²,

Sastré-Gómez

et al. 2014

Cir. plást. iberolatinoam.

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ResumenLa inyección de sustancias modelantes es un procedimiento usado desde el siglo XIX para mejorar el contorno corporal con fines estéticos. Durante la última década ha aumentado la demanda de técnicas quirúrgicas para la reconstrucción de los defectos originados tras la resección de unidades anatómicas afectadas por infiltración de estas sustancias modelantes, haciendo que en ocasiones tengamos que recurrir al empleo de expansores cutáneos, injertos, colgajos locales, colgajos regionales e incluso, a colgajos libres.Describimos el proceso de reconstrucción glútea en caso de infiltración de sustancias modelantes en el que tuvimos que emplear un colgajo de perforantes lumbares debido a su fiabilidad, a que preserva la musculatura, a su versatilidad de diseño sin comprometer otras posibles alternativas reconstructivas y por su baja morbilidad. Analizamos también la anatomía, diseño, técnica quirúrgica e indicaciones específicas de estos colgajos de perforantes de la región glútea. Palabras clave Enfermedad humana por modelantes,Colgajo de perforantes lumbares, Reconstrucción glútea. Nivel de evidencia científica V AbstractThe injection of modeling substances is a process used with esthetic purposes since XIX century to improve body contour. In the past decade, there has been an increased demand on surgical techniques for reconstruction of defects arising after resection of anatomical units, such as: expanders, grafts, local flaps, regional flaps and free flaps. These resections are due to the infiltration of modeling substances.We describe a reconstruction process with a bilateral lumbar perforator flaps in a case of gluteal adyuvant disease. We analyze too the anatomy, design, surgical technique and specific indications for gluteal reconstruction.

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“…Numerous surgical methods have been used to correct these defects, including skin grafting [14], local flaps [15], muscle flaps [5], and free flaps [11]. Local flaps in the gluteal region are the first choice for reconstruction of sacral defects [1].…”

Section: Introductionmentioning

confidence: 99%

Pedicled Fasciocutaneous Flap of Multi-island Design for Large Sacral Defects

Hai²,

Liang³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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We designed a new pedicled fasciocutaneous flap for large sacral defects that combined a classic superior gluteal artery perforator flap and an acentric axis perforator pedicled propeller flap. We asked whether this technique would be simple and result in few complications. Six patients with large sacral defects had reconstruction using this technique in one stage. The size of the defect and postoperative complications in each patient were assessed. The minimum followup was 6 months (mean, 20.1 months; range, 6-38 months). All wounds healed with no recurrence during followup. Five patients achieved healing primarily, and another with minimal drainage achieved healing by secondary intention after a dressing change. No patients had deep infection, wound dehiscence, necrosis, or partial loss or shrinkage of the flap at final followup. The buttocks were symmetric. We consider this a good alternative for reconstructing large sacral defects because it is a relatively simple procedure and results in few complications.

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The Gluteal Fasciocutaneous Rotation-Advancement Flap with V-Y Closure in the Management of Sacral Pressure Sores

Cited by 45 publications

References 13 publications

Application of Split Gluteus Maximus Muscle–Adipofascial Turnover Flap and Subcutaneous Tension-Reducing Suture Technique in Repair of Decubitus Ulcers

Application of Split Gluteus Maximus Muscle–Adipofascial Turnover Flap and Subcutaneous Tension-Reducing Suture Technique in Repair of Decubitus Ulcers

Colgajo bilateral de perforantes lumbares para reconstrucción glútea tras infiltración por modelantes

Pedicled Fasciocutaneous Flap of Multi-island Design for Large Sacral Defects

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