Khedr, M., Mahmoud, W., Ghobara, S. (2020). Island Gluteal Thigh Flap for Coverage of Ischial Bed Sores. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(3), 407-414.
Mohamed M Khedr; Wael H Mahmoud; Samir M Ghobara. "Island Gluteal Thigh Flap for Coverage of Ischial Bed Sores". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 3, 2020, 407-414.
Khedr, M., Mahmoud, W., Ghobara, S. (2020). 'Island Gluteal Thigh Flap for Coverage of Ischial Bed Sores', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(3), pp. 407-414.
Khedr, M., Mahmoud, W., Ghobara, S. Island Gluteal Thigh Flap for Coverage of Ischial Bed Sores. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(3): 407-414.
Island Gluteal Thigh Flap for Coverage of Ischial Bed Sores
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta Uuniversity
Abstract
Background: Many flaps have been described for reconstruction of ischial pressure sores; each of them has its merits and drawbacks. Gluteal thigh flap have been reported for coverage of ischial defects. Several variations of the gluteal thigh flap have been used, including a transposition flap, an advancement flap and an island flap. This study aimed at evaluation of the reliability of the island gluteal thigh flap in primary ischial pressure sores reconstruction. Patients and Methods: A prospective study was performed on 13 patients (10 males and 3 females), admitted to the Dep. of Plastic Surgery between June 2016 and June 2019, suffering from ischial pressure ulcers. Of them, eight were grade III and five were grade IV who underwent island gluteal thigh flap for coverage. The mean age of patients was 31.3 years. The mean ulcer size was 4.9x7.1cm. 13 island gluteal thigh flaps were used.The mean flap dimensions were 8.1cm in length and 5.9cm in width. The donor sites were closed primarily in all patients. Results: 13 island gluteal thigh flaps were used.The mean flap dimensions were 8.1cm in length and 5.9cm in width. The donor sites were closed primarily in all patients. Twelve flaps survived completely. There was no complete flap loss in our study. However, we had an overall rate of complications about 23%; venous congestion in 2 cases, partial superficial flap necrosis in 1 case and hematoma in 1 case. After an average follow-up period of 12 months, one ulcer (7.7%) recurred. Conclusion: Island gluteal thigh flap is reliable in primary ischial pressure sores reconstruction provided that the primary source vessel is included. This flap is highly efficient and easy to raise. It spares adjacent cutaneous territories for recurrent cases and preserves gluteus maximus muscle for patients who will be ambulant with minimal donor site morbidity.
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