Outcome of Closure of Wide Based Defects by Various Rotational Flaps

2021 ◽  
Vol 15 (9) ◽  
pp. 2268-2269
Author(s):  
Muhammad Sohaib Anwer ◽  
Faisal Waheed ◽  
Atta Ur Rehman Khan ◽  
Sana Ullah ◽  
Naeem Ul Haq ◽  
...  
Keyword(s):  
Perforator Flap ◽  
Wound Dehiscence ◽  
Distal Portion ◽  
Lumbosacral Region ◽  
Superior Gluteal Artery ◽  
Dural Sac ◽  
Superficial Wound ◽  
Study Setting ◽  
Artery Perforator ◽  
Tissue Defects

Aim: To observe the outcome of closure of wide based defects by various rotational flaps for meningomyelocele defects. Study setting: Neurosurgery Department, Sheikh Zayed Hospital, Rahim yar khan Duration: From Oct 2018 to Oct 2020, Methodology: We included 15 patients with wide based myelomeningocele anomalies in the neurosurgery department, Sheikh Zayed Hospital, Rahim yar khan. Age ranged from four days to eight years. The flaw had a diameter of between 8x5cm and 12x8cm. Rotational flaps were used to restore soft tissue defects in all cases. Result: In this study, we did posterior intercostal artery perforator flap(superiorly based) in 40% patients, double rotation flap (yin yang) in 26.7% patients, superior gluteal artery perforator flap in 20 % patients and z plasty in 13.3 % patients. Regarding complications, 2 (13.3%) individuals had a superficial wound dehiscence. One individual (6.7%) developed necrosis of the distal portion of the flap, which was conventionally handled. Postoperatively, no neurosurgical problem occurred. After an average of 6 months, no patient experienced reappearance or dural sac herniation. Conclusion: Restoration of large meningomyelocele defects using local rotational flaps is a secure and reliable approach for abnormalities in the lumbosacral region. Keywords: Meningomyelocele, rotational flaps

scholarly journals Management of Sacral Pressure Sore by Clinically Isolated Superior Gluteal Artery Perforator-based Fasciocutaneus Flap in Patients with Spinal Cord Injury

2016 ◽  
Vol 27 (1) ◽  
pp. 14-18
Author(s):  
S P Das ◽  
Mamtamanjari Sahu ◽  
Pramod Kumar Parida
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Constant Pressure ◽  
Spinal Injury ◽  
Wound Dehiscence ◽  
Pressure Sore ◽  
Superior Gluteal Artery ◽  
Doppler Probe ◽  
Cord Injury ◽  
Artery Perforator

Abstract Prolong confinement to bed in spinal injury patients imparts constant pressure on bony prominences resulting impairment of blood flow to local tissue. Constant pressure of 2 hours or more produces irreversible changes leading to tissue necrosis and development of pressure sore. Sacrum encounters highest pressure in supine position and is the commonest site of pressure sore in spinal cord injury patients followed by trochanter and heel. Objective of the study Observation on management of sacral pressure sore by superior gluteal arterial perforatorbased flap using anatomical land marks in the absence of facility of Doppler probe for isolation of superior gluteal arterial perforators. Materials and methods Thirteen patients of spinal cord injury presented with sacral pressure sore were managed surgically using superior gluteal artery perforator-based flap coverage. The location of the artery was identifi ed using anatomical land marks. In 10 patients the flap was heeled uneventfully, one had signifi cant complication with wound dehiscence. Conclusions Management of sacral pressure sore by superior gluteal arterial perforator-based flap using anatomical land marks is a simple and reliable procedure. The learning curve is not that stiff. Sophisticated instruments are not required for this procedure.

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

2018 ◽  
Vol 9 (2) ◽  
pp. 178-183
Author(s):  
Vikas Kakkar ◽  
◽  
Gurlal Singh Pura ◽  
Harpreet Singh ◽  
Balcharan Singh Bajwa ◽  
...  
Keyword(s):  
Reliable Method ◽  
Perforator Flap ◽  
Superior Gluteal Artery ◽  
Artery Perforator

Der „Superior Gluteal Artery Perforator Flap“ (S-GAP-Flap)

2002 ◽  
Vol 34 (4) ◽  
pp. 257-261 ◽  
Author(s):  
A.-M. Feller ◽  
I. Richter-Heine ◽  
K.-D. Rudolf
Keyword(s):  
Perforator Flap ◽  
Superior Gluteal Artery ◽  
Artery Perforator

The Use of Magnetic Resonance Imaging in Planning a Pedicled Perforator Flap for Pressure Sores in the Gluteal Region

2018 ◽  
Vol 17 (2) ◽  
pp. 106-112
Author(s):  
Sun-June Park ◽  
Kyeong-Tae Lee ◽  
Byung-Joon Jeon ◽  
Kyong-Je Woo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Perforator Flap ◽  
Gluteal Region ◽  
Pressure Sores ◽  
Resonance Imaging ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Superior Gluteal Artery ◽  
Artery Perforator

Pedicled perforator flaps (PPFs) have been widely used to treat pressure sores in the gluteal region. Selection of a reliable perforator is crucial for successful surgical treatment of pressure sores using PPFs. In this study, we evaluate the role of magnetic resonance imaging (MRI) in planning PPF reconstruction of pressure sores in the gluteal region. A retrospective chart review was performed in patients who had undergone these PPF reconstructions and who had received preoperative MRI. Preoperatively, the extent of infection and necrotic tissue was evaluated using MRI, and a reliable perforator was identified, considering the perforator location in relation to the defect, perforator size, and perforator courses. Intraoperatively, the targeted perforator was marked on the skin at the locations measured on the MRI images, and the marked location was confirmed using intraoperative handheld Doppler. Superior gluteal artery, inferior gluteal artery, or parasacral perforators were used for the PPFs. Surgical outcomes were evaluated. A total of 12 PPFs were performed in 12 patients. Superior gluteal artery perforator flaps were performed in 7 patients, inferior gluteal artery perforator flaps were performed in 3 patients, and parasacral perforator flaps were performed in 2 patients. We could identify a reliable perforator on MRI, and it was found at the predicted locations in all cases. There was only one case of partial flap necrosis. There was no recurrence of the pressure sores during the mean follow-up period of 6.7 months (range = 3-15 months). In selected patients with gluteal pressure sores, MRI is a suitable means for not only providing information about disease extent and comorbidities but also for evaluating perforators for PPF reconstructions.

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