J Korean Soc Plast Reconstr Surg.  1998 Dec;25(8):1508-1516.

The parasacral perforator-based island skin flaps for sacral pressure sores

• Kim HS
• Kim JJ
• Kim JT
• Kim SK

Abstract

The reconstruction of pressure sore is often complicated problem due to underlying disease and general condition of the patients. Sometimes, it is too radical to use the muscle or musculocutaneous flap for the patients who has severe systemic disease and can not withstand the lengthy operation or the patients who already recovered from paraplegic condition and has no risk recurrence. To get over these problems, we recently have used the parasacral perforator-based island skin flaps for the sacral pressure sores. This flap is based on the axial pattern perforators originating from the internal pudendal artery and lateral sacarl artery. We performed this operation for 11 sacral sores with reasonable results. There was no significant complication, and duration of operation was relatively short and blood loss was a little. We concluded that this flap was useful for the patient with sacral pressure sore who could be categorized nontraumatic nonparaplegic group(NTNP group) or nontraumatic paraplegic group(NTP group). But this island flap has drawback, which is elimination of sensory nerve within the flap.

MeSH Terms

Arteries
Humans
Myocutaneous Flap
Pressure Ulcer*
Recurrence
Skin*