The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience
Background: Despite advances in reconstruction techniques, sacral defects continue to challenge surgeons. The perforator flap preserves the entire contralateral side as a future flap donor site and the gluteal muscle itself on the ipsilateral side to minimize donor-site morbidity. Materials and Meth...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2018-01-01
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| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=4;spage=142;epage=147;aulast=Chiao |
| _version_ | 1827833039188656128 |
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| author | Hao-Yu Chiao Shun-Cheng Chang Chang-Yi Chou Yuan-Sheng Tzeng Shyi-Gen Chen Chin-Ta Lin |
| author_facet | Hao-Yu Chiao Shun-Cheng Chang Chang-Yi Chou Yuan-Sheng Tzeng Shyi-Gen Chen Chin-Ta Lin |
| author_sort | Hao-Yu Chiao |
| collection | DOAJ |
| description | Background: Despite advances in reconstruction techniques, sacral defects continue to challenge surgeons. The perforator flap preserves the entire contralateral side as a future flap donor site and the gluteal muscle itself on the ipsilateral side to minimize donor-site morbidity.
Materials and Methods: Between April 2003 and March 2013, data obtained from 60 patients with sacral defects reconstructed with perforator flaps were retrospectively analyzed.
Results: We analyzed the sacral defects reconstructed with three different perforator flaps into the following groups: group 1, 30 patients with superior gluteal artery perforator flaps, (average flap size was 83.8 cm2); Group 2, 19 patients with parasacral perforator flaps (average flap size was 94.2 cm2); and Group 3, 11 patients with inferior gluteal artery perforator flaps (average flap size was 85.8 cm2). The overall flap survival rate was 93.3% (56/60).
Conclusion: Perforator flaps are a reliable option for soft-tissue defect reconstruction as they provide a sufficient amount of tissue to cover large sacral defects. We recommend perforator flaps as a viable alternative in the management of sacral defects that cannot be reconstructed with primary closure or local fasciocutaneous flaps. |
| first_indexed | 2024-03-12T05:23:06Z |
| format | Article |
| id | doaj.art-c1ee9b87b6e3466ab28a5d3c9db74e80 |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T05:23:06Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-c1ee9b87b6e3466ab28a5d3c9db74e802023-09-03T07:32:53ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2018-01-0151414214710.4103/fjs.fjs_71_17The use of perforator flaps for the reconstruction of sacral defects: Ten-year experienceHao-Yu ChiaoShun-Cheng ChangChang-Yi ChouYuan-Sheng TzengShyi-Gen ChenChin-Ta LinBackground: Despite advances in reconstruction techniques, sacral defects continue to challenge surgeons. The perforator flap preserves the entire contralateral side as a future flap donor site and the gluteal muscle itself on the ipsilateral side to minimize donor-site morbidity. Materials and Methods: Between April 2003 and March 2013, data obtained from 60 patients with sacral defects reconstructed with perforator flaps were retrospectively analyzed. Results: We analyzed the sacral defects reconstructed with three different perforator flaps into the following groups: group 1, 30 patients with superior gluteal artery perforator flaps, (average flap size was 83.8 cm2); Group 2, 19 patients with parasacral perforator flaps (average flap size was 94.2 cm2); and Group 3, 11 patients with inferior gluteal artery perforator flaps (average flap size was 85.8 cm2). The overall flap survival rate was 93.3% (56/60). Conclusion: Perforator flaps are a reliable option for soft-tissue defect reconstruction as they provide a sufficient amount of tissue to cover large sacral defects. We recommend perforator flaps as a viable alternative in the management of sacral defects that cannot be reconstructed with primary closure or local fasciocutaneous flaps.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=4;spage=142;epage=147;aulast=ChiaoPerforator flappressure ulcerreconstructionsacral defect |
| spellingShingle | Hao-Yu Chiao Shun-Cheng Chang Chang-Yi Chou Yuan-Sheng Tzeng Shyi-Gen Chen Chin-Ta Lin The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience Formosan Journal of Surgery Perforator flap pressure ulcer reconstruction sacral defect |
| title | The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience |
| title_full | The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience |
| title_fullStr | The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience |
| title_full_unstemmed | The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience |
| title_short | The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience |
| title_sort | use of perforator flaps for the reconstruction of sacral defects ten year experience |
| topic | Perforator flap pressure ulcer reconstruction sacral defect |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=4;spage=142;epage=147;aulast=Chiao |
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