Document Detail


Superiority of the fasciocutaneous flap in reconstruction of sacral pressure sores.
MedLine Citation:
PMID:  8489174     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The gluteal maximus muscle has been used in the treatment of sacral pressure sores since the 1970s. However, it is noted that the muscle portion of the transferred flap shows highly atrophic degeneration and the muscle itself is not suitable tissue for covering the pressure-bearing area. We have managed various fasciocutaneous flaps as the first choice for reconstruction of sacral pressure sores and obtained good results. The fasciocutaneous flap has an anatomical structure that resists physical stimulation or external pressure and an abundant blood supply via its fascial plexus. In addition, if we use a gluteal maximus myocutaneous flap at first, some fasciocutaneous flaps are compromised because of the design and blood supply. We suggest that the fasciocutaneous flap has the first priority and is superior to the gluteal maximus myocutaneous and muscle flaps in reconstruction of sacral pressure sores.
Authors:
Y Yamamoto; T Ohura; Y Shintomi; T Sugihara; K Nohira; H Igawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  30     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-06-08     Completed Date:  1993-06-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  116-21     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, University of Hokkaido, Sapporo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Humans
Male
Middle Aged
Pressure Ulcer / surgery*
Recurrence
Sacrococcygeal Region / surgery
Surgical Flaps / methods*
Tissue Expansion Devices

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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