Riaz Ahmed Afridi, Firdous Khan, Obaidullah.
Efficacy of gluteus maximus fasciocutaneous v-y advancement flaps for coverage of sacral sore.
Pak J Surg Jan ;30(2):136-40.

Objective: To evaluate effi cacy of gluteus maximus fasciocutaneous V-Y advancement fl aps in the management of sacral sores in terms of fl ap survival, complications and recurrence. Methodology: Th is Prospective descriptive study was conducted at Plastic & Reconstructive Surgery Unit, Northwest General Hospital, Hayatabad, Peshawar from Jan 2010 to Dec 2012. Patients were admitt ed through out-patient department and detailed history, clinical examination and necessary investigations were carried out. Informed consent was taken. Patients with grade 3 and 4 sacral sores were included. Patients with concomitant trochanteric sores, immunocompromise patients or with terminal illness were excluded from the study. All patients were put on a standard regime postoperatively. Data was analyzed by using SPSS version 10 soft ware. Follow-up period was 1 year. Results: A total number of 20 patients were included. Th eir ages ranged from 20-65 yrs with mean age of ± 29.4 yrs. Males were 12 and females were 8. Causes of sacral sores were spinal cord injuries in 12 (60%), Cerebrovascular accidents (CVA) in 5 (25%) and other medical illnesses in 3 (15%) of patients. Grade 3 sores were found in 65% and grade 4 in 73% patients. Average defect size was 16 cm. Gluteus maximus V-Y fasciocutaneous fl ap was done unilaterally in 8 (40%) and bilaterally in 12 (60%) of patients. Complications were wound dehiscence in 10% and seroma formation in 5% of patients. Conclusion: Gluteul fasciocutaneous advancement fl aps are a reliable and safe means for coverage of primary as well as recurrent sacral sores. Dissection is easy and defect as large as 20cm can be covered.

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