Coverage of Large Sacral Pressure Sores with the Gluteal Perforator Flap

    September 2006 in “ Plastic and Reconstructive Surgery ”
    Thomas Biesgen, Gustavo Sturtz, Ulf Dornseifer, Eugen H fter, Milomir Ninković
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    TLDR The SGAP flap effectively treats large sacral pressure sores with good results and minimal complications.
    The study on the superior gluteal artery perforator (SGAP) flap for closing large sacral pressure sores in 28 patients, mostly paraplegic, demonstrated that the SGAP flap provided excellent aesthetic and functional results with minimal donor site morbidity and maintained muscle function. The average patient age was 62 years, and the average defect size was 8x11 cm. The main complication was seroma, with two cases requiring a second operation due to wound healing issues. Overall, the SGAP flap showed better long-term outcomes compared to myocutaneous or muscle flaps.
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