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Modified gluteus maximus V-Y advancement flaps.

A J Heywood¹, A A Quaba

¹Department of Plastic Surgery, Bangour General Hospital, Broxburn, West Lothian.

British Journal of Plastic Surgery

|May 1, 1989

Summary

A modified gluteus maximus V-Y advancement flap technique improves wound closure by incorporating extra tissue. This method enhances flap versatility for better surgical outcomes in reconstructive procedures.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Surgical Techniques

Background:

Wound closure presents challenges in reconstructive surgery.
Gluteus maximus V-Y advancement flaps are utilized for specific defect closures.
Limitations exist in the standard V-Y flap technique for certain wound types.

Purpose of the Study:

To present a modified gluteus maximus V-Y advancement flap technique.
To enhance the versatility and effectiveness of V-Y flaps for wound closure.
To describe the clinical application and outcomes of the modified flap.

Main Methods:

A modified V-Y advancement flap technique using the gluteus maximus muscle is described.
Extra tissue is incorporated into the flap by extending its advancing edge corners.
The technique combines advancement with rotation and transposition for closure.

Main Results:

The modified flap allows for greater tissue mobilization and coverage.
Illustrations demonstrate the flap modification and surgical steps.
Clinical examples showcase successful application in various wound scenarios.

Conclusions:

The modified gluteus maximus V-Y advancement flap offers an improved method for wound closure.
This technique provides enhanced reconstructive capabilities by utilizing additional tissue.
The modified flap is a valuable addition to the reconstructive surgeon's armamentarium.

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