GENERAL SURGERY

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

A. Hurbungs^I; H. Ramkalawan^II

^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

ABSTRACT

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.

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