Email Alerts
RSS
Volume 39 Issue 8
Aug.  2023
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(8): 753-757
Chen LM,Wang G,Liu H,et al.Clinical effects of free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity[J].Chin J Burns Wounds,2023,39(8):753-757.DOI: 10.3760/cma.j.cn501225-20221115-00488.
Citation: Chen LM,Wang G,Liu H,et al.Clinical effects of free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity[J].Chin J Burns Wounds,2023,39(8):753-757.DOI: 10.3760/cma.j.cn501225-20221115-00488.
shu

Clinical effects of free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity

doi: 10.3760/cma.j.cn501225-20221115-00488

  • Department of Burns and Plastic Surgery ＆ Wound Repair Surgery, Lanzhou University Second Hospital, Lanzhou 730030, China

Funds:

Gansu Provincial University Innovation Fund 2021B-046

Gansu Natural Science Foundation of China 21JR11RA121

More Information
    Abstract
  •   Objective   To investigate the feasibility and clinical effects of using free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity.   Methods   A retrospective observational study was conducted. From June 2020 to June 2022, 9 patients with complex wounds in the buttock with deep dead cavity who met the inclusion criteria were admitted to Lanzhou University Second Hospital, including 6 males and 3 females, aged 26 to 62 years, with original wound area ranging from 4.0 cm×3.0 cm to 8.0 cm×7.0 cm and dead cavity depth of 7 to 11 cm. All the wounds were repaired with free perforator propeller myocutaneous flap from buttock, with flap area of 6.0 cm×2.5 cm to 13.0 cm×7.0 cm and muscle flap length of 6 to 11 cm. All the wounds in the donor area were closed and sutured directly. Postoperative myocutaneous flap survival, complications, as well as donor and recipient wound healing were observed, and the shape of donor and recipient areas were followed up.   Results   Congestion occurred under the myocutaneous flap of one patient due to poor drainage on post surgery day 2, which was healed after 15 days of drainage and dressing change. The myocutaneous flaps of other patients survived successfully after surgery. The wounds in the donor and recipient areas were all well healed. During the follow-up of 3 to 10 months, the donor and recipient areas were full in shape, with little difference from the healthy side, and were able to bear pressure.   Conclusions   The free perforator propeller myocutaneous flap from buttock can repair the deep dead cavity and surface wounds at the same time. The use of this myocutaneous flap in repairing complex wounds in the buttock with deep dead cavity results in minimal damage to the donor area, allows pressure-bearing of the donor and recipient areas after surgery, and ensures a full buttock shape.

     

    • FullText(HTML)
  • loading
    • References(15)
  • [1]
    陈黎明,刘毅,张诚,等.股前外侧嵌合穿支皮瓣修复合并深部无效腔特殊部位创面[J].中华烧伤杂志,2018,34(5):288-290.DOI: 10.3760/cma.j.issn.1009-2587.2018.05.007.
    [2]
    JiaoXG,CuiCX,NgSK,et al.The modified bilobed flap for reconstructing sacral decubitus ulcers[J/OL].Burns Trauma,2020,8:tkaa012[2022-11-15].https://pubmed.ncbi.nlm.nih.gov/33335930/.DOI: 10.1093/burnst/tkaa012.
    [3]
    ChenXM, HuangB, XiaoHT, et al. Application of the jigsaw puzzle flap based on freestyle perforators to repair large and deep ulcers on the buttocks[J]. Front Surg,2022,9:739250.DOI: 10.3389/fsurg.2022.739250.
    [4]
    SinnottCJ, StavridesS, BoutrosC, et al. Dual-plane gluteal myocutaneous flap for reconstruction of ischial tuberosity pressure wounds[J]. Ann Plast Surg,2020,85(S1 Suppl 1):S23-27.DOI: 10.1097/SAP.0000000000002331.
    [5]
    BraultN, QassemyarQ, BouthorsC, et al. Chordome géant du sacrum et reconstruction par lambeau perforant glutéal supérieur, à propos d'un cas clinique et revue de la littérature [J]. Ann Chir Plast Esthet,2019,64(3):271-277. DOI: 10.1016/j.anplas.2018.10.004.
    [6]
    郑磊,田书建,刘继军,等.以腹壁下血管为蒂的脐旁皮瓣修复骨盆区域软组织缺损八例[J].中华显微外科杂志,2020,43(4):353-356.DOI: 10.3760/cma.j.cn441206-20191231-00400.
    [7]
    陈黎明,刘毅,张诚,等.带肌瓣的嵌合穿支皮瓣修复合并深部死腔的难愈性创面[J].中华整形外科杂志,2020,36(3):279-283.DOI: 10.3760/cma.j.cn114453-20190605-00176.
    [8]
    唐举玉,卿黎明,吴攀峰,等.游离腹壁下动脉嵌合穿支皮瓣修复合并深部死腔的下肢皮肤软组织缺损[J].中华整形外科杂志,2015,31(6):425-428.DOI: 10.3760/cma.j.issn.1009-4598.2015.06.007.
    [9]
    陈黎明,刘毅,王刚,等.三叶形臀部穿支螺旋桨皮瓣修复骶尾部创面[J].中华整形外科杂志,2018,34(7):519-521.DOI: 10.3760/cma.j.issn.1009-4598.2018.07.006.
    [10]
    陈黎明,徐立炜,刘毅,等.臀部自由穿支螺旋桨皮瓣修复臀部深度创面的效果[J].中华烧伤杂志,2020,36(2):106-109.DOI: 10.3760/cma.j.issn.1009-2587.2020.02.005.
    [11]
    刘毅.重视供区的美容修复[J].中华烧伤杂志,2020,36(2):81-84.DOI: 10.3760/cma.j.issn.1009-2587.2020.02.001.
    [12]
    唐举玉,汪华侨,HallockGG,等.关注皮瓣供区问题—减少皮瓣供区损害专家共识[J].中华显微外科杂志,2018,41(1):3-5.DOI: 10.3760/cma.j.issn.1001-2036.2018.01.001.
    [13]
    HunterC, MoodyL, LuanA, et al. Superior gluteal artery perforator flap: the beauty of the buttock[J]. Ann Plast Surg,2016, 76 Suppl 3:S191-195. DOI: 10.1097/SAP.0000000000000723.
    [14]
    韩夫,王洪涛,官浩,等.臀上动脉穿支分叶肌皮瓣在骶尾部脊索瘤切除后创面修复中的应用[J/CD].中华损伤与修复杂志(电子版),2020,15(4):294-296.DOI: 10.3877/cma.j.issn.1673-9450.2020.04.012.
    [15]
    LinCT,ChangSC,ChenSG,et al.Modification of the superior gluteal artery perforator flap for reconstruction of sacral sores[J].J Plast Reconstr Aesthet Surg,2014,67(4):526-532.DOI: 10.1016/j.bjps.2013.12.031.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (172) PDF downloads(31) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return