Reconstruction of Defect Adjacent to the Buttock with Gluteal Perforator Flap: Free Style Flap Design.
- Author:
Muyoung LEE
1
;
Jong Woo CHOI
;
Joon Pio HONG
;
Kyung S KOH
;
Jin Sup EOM
Author Information
1. Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. jinsupp@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Gluteal perforator flap;
Free style flap design;
Adjacent to the buttock
- MeSH:
Buttocks;
Estrogens, Conjugated (USP);
Humans;
Perforator Flap;
Pressure Ulcer
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2008;35(6):692-697
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Gluteal perforator flap has evolved to one of the standard tools for coverage of pressure sore. We used this flap to cover the defect adjacent to the buttock. METHODS: From September 2004 to August 2006, gluteal perforator flaps were performed in 3 patients with sore and 9 patients with tumor. We made the rule for free style design of the flap. First, the defect should be covered fully regardless of the shape or area. Second, the location of perforators was decided to maximize flap mobility. Third, the donor-site should be closed directly. RESULTS: Successful reconstruction was fulfilled. In 2 cases, initial flap congestion was observed but medical leech was applied and it was resolved. Partial flap loss occurred in one case. Infection was observed in one case. But there were no major complications. CONCLUSION: Gluteal perforator flap is very good option for the reconstruction of the defects adjacent to the buttock.
