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Date Published: 28/06/2025
Online Published: 28/06/2025
Abstract Views: 235
Views article details: 69
DOI: https://doi.org/10.54804/yhthvb.3.2025.413
Issue
No. 3 (2025)
Section
Articles
How to Cite
Trinh, V. T., Nguyen, N. S., Nguyen, V. T., & Hoang, V. C. (2025). Preliminary assessment of the application of the superior gluteal artery perforator flap in the surgical management of stage III and IV pressure ulcers in the sacral region at the Burn Department of Nghe An General Friendship Hospital. Journal of Disaster Medicine and Burn Injuries, 3, 64-70. https://doi.org/10.54804/yhthvb.3.2025.413

Preliminary assessment of the application of the superior gluteal artery perforator flap in the surgical management of stage III and IV pressure ulcers in the sacral region at the Burn Department of Nghe An General Friendship Hospital

Trinh Van Thong1,, Nguyen Ngoc Son1, Nguyen Viet Thanh1, Hoang Van Chau1
1 Nghe An General Friendship Hospital

Main Article Content

Abstract

Aims: Sacro-coccygeal pressure sores have always been a challenge to the plastic surgeon. The perforator flaps are highly vascularized, have minimal donor site morbidly, and do not require the sacrifice of the gluteus maximus muscle as well as do not sacrifice main trunk of superior gluteal artery.
Patients and methods: From 10/2023 - 08/2024, 43 Sacro-coccygeal pressure sore patients (29 males and 14 females) were treated with a unilateral Superior Gluteal Artery Perforator (SGAP) Flap, in which there are 31 island flaps and 12 V-Y flaps. The average age is 50.09 years (range 20 - 95 years).
Results: Number of perforators used: 1-2 branches, we used one perforator for all island flaps and 2 perforators for 5 V-Y flaps. All the flaps were followed up 3 post-op months, 40 flaps had good healed, 02 flaps had secondary wound healing, and one island flap had necrosis after 01 month.
Conclusion: The SGAP flap is an important method in the closure of sacral sores. It is large, safe and reliable. The donor site can bi primarily closed. The SGAP flap is a good choice for closing sacro-coccygeal pressure sores.

Article Details

Keywords

SGAP, perforator, sacro-coccygeal pressure sores, wound healing

References

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