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Superior Gluteal Artery Perforator Flap: A Reliable Method for Sacral Sores

Vikas Kakkar, Associate Professor, Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab 143501, India. , Vikas Kakkara , Gurlal Singh Purab , Harpreet Singhc , Balcharan Singh Bajwad , Shiprae , Gursimaranjit Singhf

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New Indian Journal of Surgery 9(2):p 178-183, March - April 2018. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.12

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Abstract

Background: Despite advances in reconstruction techniques, the treatment of sacral sores remains challenging to plastic surgeons. Perforator-based fasciocutaneous flaps for reconstructing pressure sores can achieve good functional results.

Methods: We performed a retrospective review of 12 patients who underwent SGAP flap reconstruction at
SGRDIMSAR over a 1-year period.

Results: There were 8 men and 4 women in the study. All reconstructed flaps survived completely with no mortality or major donor site complications. Three patients had a minor infection and wound dehiscence that healed spontaneously.

Conclusions: These observations suggest that the SGAP flap is a relatively easy flap to raise, with good reliability and minimal complications, and is therefore highly recommended for the reconstruction of the sacral pressure.

 


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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.12

Keywords

Perforator; Fasciocutaneous; SGAP (Superior Gluteal Artery Perforator)

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