Versatility of Gluteal Arteries Perforator Flaps (for Local Coverage) Relative to Defect Size, Site, and Different Pathological Conditions

Estawrow, Mina Agaiby; Farag, Sarah Abdel Azim Abdel Maksoud

doi:10.21608/ejprs.2020.140019

Versatility of Gluteal Arteries Perforator Flaps (for Local Coverage) Relative to Defect Size, Site, and Different Pathological Conditions

Document Type : Original Article

Authors

The Department Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

10.21608/ejprs.2020.140019

Abstract

Background: Superior and inferior gluteal artery perforator
flaps have evolved in the last few decades for both free and
local tissue transfer because of having the advantages of being
voluminous with a relatively inconspicuous donor site. Therefore
focusing on the details of such a reconstructive procedure
would be of importance when thinking of skin defect coverage
in the lower back, gluteal, and upper thigh areas.
Patients and Methods: This study was done on 14 cases,
10 of them had defects due to pressure sores, and 4 cases due
to other inflammatory and neoplastic conditions. All cases
were done by the same surgical team with a follow-up period
ranging from 2 to 18 months.
Results: Thirteen out fourteen flaps (92%) passed completely
and uneventfully with no need for additional surgery
throughout eighteen months of follow-up. However, two
cases developed wound dehiscence that required secondary
sutures to one of them, two cases developed seroma, and one
case developed partial flap loss which re-advanced by V-Y
technique.
Conclusion: The superior and inferior gluteal artery
perforator flaps are versatile versatilereconstructive coverage
to gluteal defects of different size, site and pathology. They
are easy to perform; suitable for large defect reconstruction
of the lower back, buttock, and upper thigh areas.

Keywords

Main Subjects

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