sgap flaps for closure of sacral defects
DESCRIPTION
SGAP FLAPS FOR CLOSURE OF SACRAL DEFECTS. Dz.Ozols , K.Snippe , M.T i mofejevs , M.Rudakovska , J.Lapins , O.Libermanis , S.Daukste, E.Gulbis, M.Malzubris , D.Vadone Riga Eastern Clinical University Hospital; Wound Clinic, Latvia. Problem. - PowerPoint PPT PresentationTRANSCRIPT
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SGAP FLAPS FOR CLOSURE OF SACRAL DEFECTS
Dz.Ozols, K.Snippe, M.Timofejevs, M.Rudakovska, J.Lapins, O.Libermanis, S.Daukste, E.Gulbis, M.Malzubris, D.Vadone
Riga Eastern Clinical University Hospital; Wound Clinic, Latvia.
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Problem Pressure Ulcer - A pressure ulcer is an area
of localised damage to the skin and underlying tissue caused by pressure, shear, friction and or a combination of these.
EUROPEAN PRESSURE ULCER ADVISORY PANEL, http://www.epuap.org/
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ProblemThe hip and buttock regions account for 67% of all pressure sores, with ischial tuberosity, trochanteric, and sacral locations being most common.
Decubitus UlcersDon R Revis Jr, MD, Consulting Staff, Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine emedicineJun 30, 2008
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Anatomy
PERFORATOR FLAPS Phillip N.Blondeel,Stephen F. Morris, Geoffrey G. Hallock , Peter C. Neligan 2006
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Gluteal rotation fasciocutaneus flap
ENCYCLOPEDIA OF FLAPS, Berish Strauch, Luis O. Vasconez, Lippincott 1998
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Gluteus maximus muscle turnover flap
ENCYCLOPEDIA OF FLAPS, Berish Strauch, Luis O. Vasconez, Lippincott 1998
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Gluteus maximus musculocutaneus island flap
ENCYCLOPEDIA OF FLAPS, Berish Strauch, Luis O. Vasconez, Lippincott 1998
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Anatomy
PERFORATOR FLAPS Phillip N.Blondeel,Stephen F. Morris, Geoffrey G. Hallock , Peter C. Neligan 2006
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SGAPThe SGAP flap is a pedicled fasciocutaneous flap developed from an evolution of work by Kroll and Rosenfield, Koshima et al, and Verpaele et al.
Perforators are located with Doppler ultrosaund.
Perforator-based flaps for low posterior midline defects. Kroll SS, Rosenfield L. Plast Reconstr Surg 1988; 81:561-6.
The superior gluteal artery perforator flap: an additional tool in the treatment of sacral pressure sores. Verpaele AM, Blondeel PN, Van Landuyt K, Tonnard PL, Decordier B, Monstrey SJ, Matton G. Br J Plast Surg 1999; 52:385-91.
The Superior Gluteal Artery Perforator Flap for the Closure of Sacral Sores M Leow, J Lim, T C Lim Singapore Med J 2004 Vol 45(1) : 37-39
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Methods32 patients with diagnoses sacral pressure
ulcers and 2 sinus pilonoidale patients were treated from the October 2005 until the December 2008.A.gluteus superior perforator fasciocutaneus flap
(SGAP) 24 cases a.gluteus inferior (IGAP) 2 casessacral perforator 1 case
Average operation time – 90 minutes (40 till 180).
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Results Donor side closed primary – 24 cases,
skin graft – 3 casesComplications:
heeling by secondary intention 1 case, partial flap necrosis – 1 case, hematoma – 2 cases,seroma – 3 cases.
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DisscusionThe donor site can be closed primarily
Minimal complications
SGAP flap is a good alternative in the closure of sacral sores.