Reconstruction of Defect Adjacent to the Buttock with Gluteal Perforator Flap: Free Style Flap Design.

Lee, Muyoung; Choi, Jong Woo; Hong, Joon Pio; Koh, Kyung S; Eom, Jin Sup

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(6):692-697.
Published online November 1, 2008.

Reconstruction of Defect Adjacent to the Buttock with Gluteal Perforator Flap: Free Style Flap Design.

Muyoung Lee, Jong Woo Choi, Joon Pio Hong, Kyung S Koh, Jin Sup Eom

Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. jinsupp@amc.seoul.kr

Abstract

PURPOSE
Gluteal perforator flap has evolved to one of the standard tools for coverage of pressure sore. We used this flap to cover the defect adjacent to the buttock. METHODS: From September 2004 to August 2006, gluteal perforator flaps were performed in 3 patients with sore and 9 patients with tumor. We made the rule for free style design of the flap. First, the defect should be covered fully regardless of the shape or area. Second, the location of perforators was decided to maximize flap mobility. Third, the donor-site should be closed directly.
RESULTS
Successful reconstruction was fulfilled. In 2 cases, initial flap congestion was observed but medical leech was applied and it was resolved. Partial flap loss occurred in one case. Infection was observed in one case. But there were no major complications.
CONCLUSION
Gluteal perforator flap is very good option for the reconstruction of the defects adjacent to the buttock.

Keywords: Gluteal perforator flap; Free style flap design; Adjacent to the buttock