The gluteal perforator-based flap for repair of refractory wounds on different sites of buttocks / 中华整形外科杂志

<p><b>OBJECTIVE</b>To discuss the application of perforator-based flap for repair of refractory sacral, ischial and trochanter wounds.</p><p><b>METHODS</b>Vacuum sealing drainage (VSD) were applied for all the wounds for 6 - 21 days and cutaneous perforator was detected by Doppler before operation. According to the location of the perforator arteries, different types of perforator-based flaps were used to cover the wounds on the buttocks.</p><p><b>RESULTS</b>Since 2005, 18 wounds in 14 patients were treated, including 11 sacral, 5 ischial and 2 trochanter defects. All flaps survived with primary healing.All the patients were followed up for 2 to 24 months with no ulcer relapse. The colour and texture of the flaps were excellent with satisfactory cosmetic results.</p><p><b>CONCLUSION</b>The gluteal perforator-based flaps have reliable blood supply with less morbidity in donor sites. It is an optimal method in repairing refractory wounds of the gluteal region.</p>

Clinical efficacy of artery perforator-based flap in the repair of gluteal-sacral pressure sores / 中华烧伤杂志

<p><b>OBJECTIVE</b>To investigate the clinical efficacy of artery perforator-based flap in the repair of gluteal-sacral pressure sores.</p><p><b>METHODS</b>Gluteal artery perforator-based island flap and perforator-based flap were designed to repair the gluteal-sacral pressure sores of 26 patients according to the location and size of the wounds. The area of the biggest flap was 20 cm x 15 cm, the diameter of perforating vessel was above 1. 1 mm, with the length of free pedicle ranging from 2.0 - 3. 5 cm.</p><p><b>RESULTS</b>All the flaps healed soon after operation, with no flap necrosis and postoperative complications, such as flap necrosis, wound infection and or formation. The color and texture of the flaps were good and the configuration was satisfactory. There was no recurrence of local bedsore in the follow-up period from 6 to 24 months.</p><p><b>CONCLUSION</b>The artery perforator-based flaps have the advantages of delicate texture, easy dissection, reliable blood flow, preservation of the gluteus maximus muscle and no need of skin grafting for the donor defects in most cases. It is an optimal method in surgical treatment of gluteal-sacral pressure sores.</p>