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Freestyle SGAP flaps for sacral ulcers.
Kuldeep Singh1, Krittika Aggarwal1
1Department of Burns and Plastic Surgery, Pt. Bhagwat Dayal Sharma PGIMS, Rohtak, Haryana, India.
Freestyle superior gluteal artery perforator (SGAP) flaps are a feasible option for sacral ulcer coverage. This method showed minimal complications, offering a reliable solution for managing pressure sores in bedridden patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Sacral ulcers are a common challenge in long-term bedridden patients.
- Several reconstructive options exist, including gluteal muscle and fasciocutaneous flaps.
Purpose of the Study:
- To evaluate the feasibility and ease of using freestyle superior gluteal artery perforator (SGAP) flaps for sacral ulcer reconstruction.
Main Methods:
- Retrospective case study conducted in a tertiary care hospital in India.
- Analysis of patients undergoing sacral ulcer closure with freestyle SGAP flaps.
Main Results:
- The superior gluteal artery perforator (SGAP) flap proved to be a reliable option.
- Only one out of ten patients experienced partial flap necrosis.
- No cases of wound dehiscence or seroma formation were observed.
- No recurrence of sacral ulcers was noted at three months post-surgery.
Conclusions:
- Freestyle SGAP flaps are a safe and effective method for sacral ulcer management.
- This technique offers a reliable reconstructive solution with a low complication rate.
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