Dual Perforator Flap for Reconstruction of Large Sacral Defects: Superior Gluteal Artery Perforator Super-Flap with Parasacral Perforator.
10.15596/ARMS.2017.26.1.14
- Author:
Sang Pil TAE
1
;
Seong Yoon LIM
;
Jin Kyung SONG
;
Hong Sil JOO
Author Information
1. Department of Plastic and Reconstructive Surgery, Hanil General Hospital, Seoul, Korea. saintyoon@gmail.com
- Publication Type:Case Report
- Keywords:
Dual perforator flap;
Superior gluteal artery perforator;
Sacral defect;
Angiosome
- MeSH:
Arteries*;
Cicatrix;
Humans;
Perforator Flap*;
Pneumonia;
Tissue Donors
- From:Archives of Reconstructive Microsurgery
2017;26(1):14-17
- CountryRepublic of Korea
- Language:English
-
Abstract:
The superior gluteal artery perforator flap technique has increasingly been used for soft tissue defects in the sacral area following its introduction nearly 25 years ago. Advantages in covering sacral defects include muscle sparing, versatility in design, and low donor side morbidity. The bilateral superior gluteal artery perforator flap procedure is planned in cases of large sacral defects that cannot be covered with the unilateral superior gluteal artery perforator flap. Here, we report two cases of large sacral defects in which patient factors of poor general health, such as old age, pneumonia, and previous operation scar, led to use of a large unilateral superior gluteal artery perforator super-flap with parasacral perforator. The approach was utilized to reduce the operation time and prevent unpredictable flap failure due to the large flap size. Even though the parasacral perforator was included, the versatility of the large superior gluteal artery perforator flap was preserved because sufficient perforator length was acquired after adequate dissection.
