| 篇名 |
The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience |
| 作者 |
Hao‑Yu Chiao, Shun‑Cheng Chang, Chang‑Yi Chou, Yuan‑Sheng Tzeng, Shyi‑Gen Chen, Chin‑Ta Lin |
| 卷期/出版年月 |
51卷4期 (2018/8) |
| 頁次 |
142-147 |
| 摘要 |
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. |
| 關鍵詞 |
Perforator flap, pressure ulcer, reconstruction, sacral defect |
| 分類 |
Original Article |
