The anatomy of the fasciocutaneous branches of the first and second perforators were studied to help elaborate a flap for use in the reconstruction of the gluteal and perineal regions. After dissecting 40 thighs in fresh cadavers, it was found that the fasciocutaneous branches of the first and second perforators were 1.21 mm and 1.01 mm in diameter, respectively. The distances from the first and second perforators to the greater trochanter of the femur were 6.23 cm and 12.19 cm, respectively. The cutaneous area nourished by each one of the arteries was evaluated through the injection of dye.
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2.
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3.
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9.
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AchauerB.M., TurpinI.M., FurnasD.W.. Gluteal thigh flap in reconstruction of complex pelvic wounds.Arch Surg1983; 118: 1822.
12.
HurwitzD.J.. Closure of a large defect of the pelvic cavity by an extended compound myocutaneous flap based on the inferior gluteal artery.Br J Plast Surg1980; 33: 25661.
13.
HurwitzD.J., SwartzW.M., MathesS.J.. The gluteal thigh flap: A reliable, sensate flap for the closure of buttock and perineal wounds.Plast Reconstr Surg1981; 68: 52132.
14.
HurwitzD.J., WaltonR.L.. Closure of chronic wounds of the perineal and sacral regions using the gluteal thigh flap.Ann Plast Surg1982; 8: 37586.
15.
KomuroY., TakatoT., UedaK., HariiK.. Experience with U-shaped gluteal thigh flaps for reconstruction of radionecrosis in the sacral region.Ann Plast Surg1993; 31: 4758.
16.
CalilJ.A.. Anatomia dos ramos fascio-cuâneos das artérias glútea inferior primeira e segunda perfurantes.São Paulo: Tese-Mestrado - Universidade Federal de São Paulo - Escola Paulista de Medicine, 1996.
17.
HallockG.G.. The random upper posterior thigh fasciocutaneous flap.Ann Plast Surg1994; 32: 36771.
18.
TaylorG.I., PalmerJ.H.. The vascular territories (angiosomes) of the body: experimental study and clinical applications.Br J Plast Surg1987; 40: 11341.
19.
RamirezO.M.. The distal gluteus maximus advancement musculocutaneous flap for coverage of trochanteric pressure sores.Ann Plast Surg1987; 18: 295302.
20.
RamirezO.M., HurwitzD.J., FutrellJ.W.. The expansive gluteus maximus flap.Plast Reconstr Surg1984; 74: 75768.
