The gluteal perforator-based flap for repair of refractory wounds on different sites of buttocks.
- Author:
Hai-tao XIAO
1
;
Yong-lin LI
;
Han-gen QIAN
;
Qiang QI
;
Wei LIN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Buttocks; surgery; Female; Humans; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Skin Transplantation; Surgical Flaps; blood supply; Wound Healing
- From: Chinese Journal of Plastic Surgery 2009;25(1):11-13
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the application of perforator-based flap for repair of refractory sacral, ischial and trochanter wounds.
METHODSVacuum sealing drainage (VSD) were applied for all the wounds for 6 - 21 days and cutaneous perforator was detected by Doppler before operation. According to the location of the perforator arteries, different types of perforator-based flaps were used to cover the wounds on the buttocks.
RESULTSSince 2005, 18 wounds in 14 patients were treated, including 11 sacral, 5 ischial and 2 trochanter defects. All flaps survived with primary healing.All the patients were followed up for 2 to 24 months with no ulcer relapse. The colour and texture of the flaps were excellent with satisfactory cosmetic results.
CONCLUSIONThe gluteal perforator-based flaps have reliable blood supply with less morbidity in donor sites. It is an optimal method in repairing refractory wounds of the gluteal region.
