SciELO - Scientific Electronic Library Online

vol.50 issue1Prehospital transport of spinal cord-injured patients in NigeriaSigmoid volvulus: Long-term clinical outcome and review of the literature author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google


South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.50 n.1 Cape Town Feb. 2012




Sacral pressure sore reconstruction - the pedicled superior gluteal artery perforator flap



A. HurbungsI; H. RamkalawanII

IM.B. B.S, M.Med. (Plastic Surgery); Department of Plastic and Reconstructive Surgery, Xiangya Second Affiliated Hospital of Central South University, China
IIM.B. B.S, M.Med. (Neurology); Department of Neurology, Xiangya First Affiliated Hospital of Central South University, China




OBJECTIVE: To report the use of the pedicled superior gluteal artery perforator (SGAP) fasciocutaneous flap as a reliable surgical option for sacral pressure sore reconstruction.
METHODS: A prospective study was conducted between September 2008 and September 2010 of 10 patients with stage 3 or 4 sacral pressure sores treated with a unilateral pedicled SGAP flap.
RESULTS: All flaps survived completely with no complications in 9 patients. One patient had a haematoma below the flap that was easily drained. No recurrence of the bedsore occurred during follow-up.
CONCLUSION: We suggest that the pedicled SGAP fasciocutaneous flap is a reliable surgical option for sacral pressure sore reconstruction.


“Full text available only in PDF format”



1. Berlowitz DR, Wilking SVB. The short-term outcome of pressure sores. J Am Geriatr Soc 1990;38:748-752.         [ Links ]

2. Perez ED. Pressure ulcers: Updated guidelines for treatment and prevention. Geriatrics 1993;48:39-41.         [ Links ]

3. Ramirez OM, Orlando JC, Hurwitz DJ. The sliding gluteus maximus myocutaneous flap: its relevance in ambulatory patients. Plast Reconstr Surg 1984;74:68-75.         [ Links ]

4. Koshima I, Moriguchi T, Soeda S, Kawata S, Ohta S, Ikeda A. The gluteal perforator based flap for repair of sacral pressure sores. Plast Reconstr Surg 1993;91:678-683.         [ Links ]

5. Kroll SS, Rosenfield L. Perforator-based flaps for low posterior midline defects.Plast Reconstr Surg 1988;81:561-566.         [ Links ]

6. Ahmadzadeh R, Bergeron L, Tang M, et al. The superior and inferior gluteal artery perforator flaps. Plast Reconstr Surg 2007;120:1551-1556.         [ Links ]

7. Verpaele AM, Blondeel PN, Van Landuyt K, et al. The superior gluteal artery perforator flap: an additional tool in the treatment of sacral pressure sores. Br J Plast Surg 1999;52:385-391.         [ Links ]

8. Demir A, Acar M, Yildiz L, et al. The effect of twisting on perforator flap viability: an experimental study in rats. Ann Plast Surg 2006;56:186-189.         [ Links ]

9. Saint-Cyr M, Schaverien MV, Rohrich RJ. Perforator flaps: history, controversies, physiology, anatomy and use in reconstruction. Plast Reconstr Surg 2009;123:132e-145e.         [ Links ]

10. Higgins JP, Orlando GS, Blondeel PN. Ischial pressure sore reconstruction using an inferior gluteal artery perforator (IGAP) flap. Br J Plast Surg 2002;55:83-85.         [ Links ]

11. Yamamoto Y, Tsutsumida A, Murazumi M, Sugihara T. Long-term outcome of pressure sores treated with flap coverage. Plast Reconstr Surg 1997;100:1212-1217.         [ Links ]

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License