Freestyle SGAP flaps for sacral ulcers

Abstract

Study Design: Retrospective case study. Objective: To study the feasibility and ease of freestyle SGAP perforator flaps for sacral ulcers. Setting: This study was conducted in tertiary care hospital in India.

Sacral ulcers are commonly encountered in long-term bedridden patients. Various options to cover these ulcers include the gluteus muscle flaps (v-y, rotation and advancement), fascio-cutaneous flaps, superior and inferior gluteal artery perforator flaps. The superior gluteal artery perforator (SGAP) flap is a reliable option for sacral sore management. Using this flap, only one out of ten patients had partial flap necrosis. None had wound dehiscence nor seroma formation. No recurrence was seen at three months follow-up. This flap can safely be used as a ‘free style’ flap.

Keywords

Asia location surgery other treatment other

Get full access to this article

View all access options for this article.

References

Kwon

Janis

. Pressure sores. In: Neligan

Chang

(eds) Plastic surgery. (4th ed.) Oxford, UK, Elsevier, 2017; 352–381.

Fujino

Harashina

Aoyagi

, et al. Reconstruction for aplasia of the breast and pectoral region by microvascular transfer of a free flap from the buttock. Plast Reconstr Surg 1975; 56: 335.

Koshima

Moriguchi

Soeda

, et al. The gluteal perforator-based flap for repair of sacral pressure sores. Plast Reconstr Surg 1993; 91: 678–683.

Hallock

. Classification of flaps. In: Fu- Chan

Mardini

(2nd ed.) Flaps and reconstructive surgery. Oxford, UK, Elsevier, 2016; 9.

Yang

Kuo

Jeng

, et al. An ideal method for pressure sore reconstruction: a freestyle perforator-based flap. Ann Plast Surg 2011: 66: 179–184.

Yaşar

Duru

Ergani

, et al. Safe and easy way to reconstruct pressure ulcers: gluteal artery perforator flaps. Turk J Plast Surg 2019; 27: 193–198.