Successful reconstruction of ischial pressure sores with inferior gluteal artery descending branch perforator flap
| العنوان: | Successful reconstruction of ischial pressure sores with inferior gluteal artery descending branch perforator flap |
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| المؤلفون: | Wen Lai, Hanhua Li, Zuan Liu, Shaoyi Zheng, Zhifeng Huang, Bing Xiong |
| المصدر: | Annals of Palliative Medicine. 10:3692-3698 |
| بيانات النشر: | AME Publishing Company, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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. |
| تدمد: | 2224-5839 2224-5820 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::05e817cdf38594785d6c98b7d80b2a12 https://doi.org/10.21037/apm-20-1619 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....05e817cdf38594785d6c98b7d80b2a12 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22245839 22245820 |
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