Clover-Style Fasciocutaneous Perforator Flap for Reconstruction of Massive Sacral Pressure Sores
| Autor: | Jian-Ping Cai, Qi Zhang, Yong Ma, Weiling Huo, Shiming Feng, Liu Mingming, Xiaodong Wu, Jian Cheng |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
reconstruction medicine.medical_treatment Pressure sores fasciocutaneous flap 030230 surgery Surgical methods 03 medical and health sciences 0302 clinical medicine medicine Humans Buttocks Pressure Ulcer Debridement business.industry Middle Aged Plastic Surgery Procedures Reconstructive Surgery sacral pressure sores Secondary intention Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis perforator flap Neoplasm Recurrence Local business Complication |
| Zdroj: | Annals of Plastic Surgery |
| ISSN: | 1536-3708 0148-7043 |
| DOI: | 10.1097/sap.0000000000002442 |
| Popis: | Background As a common complication of the long-term bedridden patients, pressure sore is a great challenge for surgeons. The purpose of this study was to explore the surgical method of using a clover-style fasciocutaneous perforator flap raised on the buttocks for the treatment of massive sacral pressure sores and report the clinical outcomes. Methods The study included 15 patients from January 2015 to June 2017 with an average age of 52.87 years (range, 32–73 years). The size of the sacral pressure sores ranged from 10 cm × 13 cm to 18 cm × 20 cm. The defects were reconstructed using a fasciocutaneous perforator flap raised on the buttocks after debridement and vacuum sealing drainage treatment for 1 to 2 weeks. All the donor areas were sutured directly. Results All flaps survived completely; 13 patients achieved healing by primary intention, and the other 2 patients achieved healing by secondary intention. At the mean follow-up period of 20.8 months (range, 12–46 months), the appearance of the flap, including its texture and color, in all patients was satisfactory. No patients had deep infection, necrosis, or shrinkage of the flap during the follow-up period. One patient had a recurrent bedsore during the 2-year follow-up. Conclusions The clover-style fasciocutaneous perforator flap is ideal for the reconstruction of massive sacral pressure sores because it is a relatively simple procedure and results in good appearance and function, few complications, and a low recurrence rate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|