Sacral reconstruction with bilobate gluteal-posterior fasciocutaneous tail flap
Keywords:Sacral Ulcer, Sacral Reconstruction, Fasciocutaneous Flap, Surgery
Due to the frequency and difficulty of management, sacral ulcers demand great dedication and technical precision from the plastic surgeon and the multidisciplinary team, since sacral wounds have a recurrence rate greater than 80%. Even though fasciocutaneous flaps are thinner than myocutaneous flaps, which may seem like a disadvantage, their rotation and adaptation are easier. In addition, the risk of recurrence after reconstructions is lower when compared to myocutaneous flaps. With the evolution of knowledge and anatomical techniques, the clinical application of fasciocutaneous flaps for sacral reconstruction was well accepted as a useful alternative for the reconstruction of ischial and trochanteric pressure lesions. In this paper, we demonstrate one more option to be considered, the versatility of the bilobed fasciocutaneous flap and its use in an unconventional way, performing extensive coverage of a sacral lesion with unilateral use of a lateral donor area.
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