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The Egyptian Journal of Plastic and Reconstructive Surgery
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Volume Volume 49 (2025)
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Volume Volume 46 (2022)
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Volume Volume 45 (2021)
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Abdelazeem, K., Mayhoob, A., El Naggar, A., Ibrahim, A., Hawas, E. (2022). Evaluation of Gluteal Artery Perforator Flaps in Reconstruction of Gluteal Pressure (Decubitus) Ulcers. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(4), 333-342. doi: 10.21608/ejprs.2022.269073
Khaled Mohamed Abdelazeem; Adel Mayhoob; Abdel Nasser Mohamed El Naggar; Ahmed Hamdi Mahmoud Ibrahim; Emad Mohamed Hawas. "Evaluation of Gluteal Artery Perforator Flaps in Reconstruction of Gluteal Pressure (Decubitus) Ulcers". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 4, 2022, 333-342. doi: 10.21608/ejprs.2022.269073
Abdelazeem, K., Mayhoob, A., El Naggar, A., Ibrahim, A., Hawas, E. (2022). 'Evaluation of Gluteal Artery Perforator Flaps in Reconstruction of Gluteal Pressure (Decubitus) Ulcers', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(4), pp. 333-342. doi: 10.21608/ejprs.2022.269073
Abdelazeem, K., Mayhoob, A., El Naggar, A., Ibrahim, A., Hawas, E. Evaluation of Gluteal Artery Perforator Flaps in Reconstruction of Gluteal Pressure (Decubitus) Ulcers. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(4): 333-342. doi: 10.21608/ejprs.2022.269073

Evaluation of Gluteal Artery Perforator Flaps in Reconstruction of Gluteal Pressure (Decubitus) Ulcers

Article 3, Volume 46, Issue 4, October 2022, Page 333-342  XML PDF (25.43 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2022.269073
View on SCiNiTO View on SCiNiTO
Authors
Khaled Mohamed Abdelazeem* ; Adel Mayhoob; Abdel Nasser Mohamed El Naggar; Ahmed Hamdi Mahmoud Ibrahim* ; Emad Mohamed Hawas
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Beni-Suef University
Abstract
Background: Pressure ulcer reconstruction remains a great
challenge for plastic surgeons because of their high postoperative
complication and recurrence rates. Commonly these
ulcers are reconstructed with random pattern flaps or myocutaneous
flaps. Gluteal artery perforator flaps have evolved in
the last few decades and became popular in reconstructing
pressure ulcers in the gluteal region because they preserve
the gluteal muscle, allowing for revision in cases of recurrence.
Objective: To evaluate the use of gluteal artery perforator
flaps in reconstructing pressure ulcers of the gluteal region
as regards aesthetic outcome, postoperative complications
and patients' psychological satisfaction.
Patients and Methods: Our study was conducted on 15
patients presented with grade IV pressure ulcers in the gluteal
region, in which their ulcers were reconstructed with gluteal
artery perforator flaps.
Results: Twelve (80%) patients healed eventually without
major complications. Two (13.3%) patients had wound edge
dehiscence, and only one (6.7%) patient had a donor site wide
scar. Patients were evaluated as regards aesthetic outcomes
and patients' psychological satisfaction, and the overall results
were satisfactory.
Conclusion: The superior and inferior gluteal artery
perforator flaps, with their safe anatomical basis, less morbidity
and versatility in designs, are reliable and effective alternatives
in reconstructing pressure ulcers of the gluteal region.
Keywords
Gluteal artery perforator flaps; Gluteal pressure ulcers reconstruction
Main Subjects
Flaps
References
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