Clinical effect of self-designed pedicled perforator flap combined with vacuum sealing drainage technique in repair of pressure ulcer on buttocks
10.3760/cma.j.cn114657-20241031-00165
- VernacularTitle:自由设计的带蒂穿支皮瓣结合负压封闭引流术修复臀部压疮的临床效果
- Author:
Zelan MU
1
;
Jian ZHANG
;
Yuan GU
;
Nan BAI
;
Yanjie FU
Author Information
1. 山东第二医科大学临床医学院，潍坊 261053
- Publication Type:Journal Article
- Keywords:
Decubitus;
Perforator flap;
Negative pressure seal drainage
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(2):115-119
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical application and effect of the self-designed pedicled perforator flap combined with vacuum sealing drainage (VSD) for the repair of gluteal pressure ulcers.Methods:A retrospective study was performed on 15 patients with gluteal pressure ulcers who were treated with self-designed pedicled perforator flaps combined with VSD in Linyi People's Hospital from January 2020 to April 2023. The cohort included 9 males and 6 females, with ages ranging from 41 to 73 (57±16) years, and the duration of the disease ranged from 12 to 39 days. Following debridement surgery in conjunction with VSD treatment, the wounds were repaired with self-designed pedicled perforator flaps. In cases with larger donor areas, relay flaps were utilized. All wounds were closed in the first stage with VSD drainage for one week. Postoperative assessments focused on flap survival, wound healing, and patient follow-up.Results:Three cases were mixed pressure ulcers, 12 cases were ulcerative pressure ulcers, and the area of the base of the wound ranged from 3 cm × 5 cm to 10 cm × 15 cm. Among the cohort, 14 patients demonstrated favorable outcomes regarding flap survival and incision healing while one paraplegic patient experienced bleeding, subcutaneous congestion and poor incision healing after operation due to severe wound infection and poor fundamentals, and was discharged from the hospital after 10 days of healing post-operation with the flap clearing and repairing. The duration of the operation was (123±10) min, and the intraoperative blood loss was (87±5) ml. A total of 13 cases were followed up for 3 to 24 months with satisfactory results. The flaps demonstrated optimal hematologic performance, satisfactory appearance and texture, and no recurrence of ulcers.Conclusion:The combination of self-designed pedicled perforator flap with VSD is an effective method for repairing gluteal pressure ulcers with less intraoperative bleeding and shorter operative time.
