Successful reconstruction of ischial pressure sores with inferior gluteal artery descending branch perforator flap
| Autor: | Wen Lai, Hanhua Li, Zuan Liu, Shaoyi Zheng, Zhifeng Huang, Bing Xiong |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery Pressure sores medicine.medical_treatment 030230 surgery 03 medical and health sciences 0302 clinical medicine Blood loss medicine.artery Inferior gluteal artery medicine Humans Wound culture Pressure Ulcer Advanced and Specialized Nursing business.industry Colostomy Arteries Plastic Surgery Procedures Surgery body regions Anesthesiology and Pain Medicine Outpatient visits 030220 oncology & carcinogenesis Buttocks Operative time business Perforator Flap |
| Zdroj: | Annals of Palliative Medicine. 10:3692-3698 |
| ISSN: | 2224-5839 2224-5820 |
| DOI: | 10.21037/apm-20-1619 |
| Popis: | Background Ischial pressure sores often recur, the surgical choice often troubled the surgeon, because surgery repair should consider future reconstructive procedures. The purpose of this article is to present a new surgical option for the reconstruction of primary or recurrent ischial pressure sores by using an inferior gluteal artery of the descending branch perforator flap. Methods A study involving patients suffering from ischial pressure sores was performed from March 2016 to August 2020. Patients with large defects, for which direct closure was not possible, underwent reconstructive surgery using an inferior gluteal artery descending branch perforator flap. Collected data included age, diabetes, wound culture, size of the wound, whether or not negative pressure therapy was received, operative time, intraoperative blood loss, and postoperative complications. Patients were followed up through outpatient visits or by telephone. Results Five patients with ischial pressure sores (four primary and one recurrent) underwent reconstructive surgery with inferior gluteal artery descending branch perforator flap. One patient received colostomy and wound negative pressure therapy before lesion reconstruction. All patients successfully recovered without postoperative complications. The follow-up period ranged from 4 to 31 months. No wound disruption or recurrence was recorded. Conclusions Inferior gluteal artery descending branch perforator flap treatment of ischial pressure sores is a simple and feasible method for preserving the inferior gluteal artery's main vascular perforators and could be used as a future surgical option. |
| Databáze: | OpenAIRE |
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