Title: V-Y Advancement flap for Sacral Pressure Sore
Authors: Sunil Kumar M, Vijay Kumar, Mohan K
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.96
Abstract
Background: The sacral region is one of the most frequent sites of pressure sore development. Debridement of pressure sores in the sacral region often results in excessive soft tissue defect. Numerous surgical methods have been used to correct these defects, including skin grafting, local flaps, muscle flaps and free flaps. This study was for evaluation of V-Y advancement gluteus maximus fasciocutaneous flap in management of sacral pressure sores.
Keywords: Gluteal area, Lesions, V-Y design
References
- Chen TH. Bilateral gluteus maximus V-Y advancement musculocutaneous flaps for the coverage of large sacral pressure sores: revisit and refinement. Ann Plast Surg. 1995;35: 492–7.
- Siclovan HR, Azar S. Use of bilaterally pedicled V-Y advancement flap for reconstruction of the nose. Aesthetic Plast Surg. 2008;32:576–8.
- Hayashi A, Maruyama Y. Bilateral latissimus dorsi V-Y musculocutaneous flap for closure of a large meningomyelocele. PlastReconstr Surg. 1991;88:520–3.
- Akan IM, Ulusoy , MG , Bilen BT, Kapucu MR. Modified bilateral advancement flap: The slide-in flap. Ann Plast Surg. 1999;42:545.
- Aoki R, Pennington DG, Hyakusoku H. Flap-in-flap method for enhancing the advancement of a V-Y flap. PlastReconstr Aesthetic Surg. 2006;59:653–7.
- Aoki R, Hyakusoku H. Pacman flap method. PlastReconstr Surg. 2007;119: 1799–802.
- Coombs CJ, Thomas DJ. The Manta Ray flap: a technique for first web space release. Tech Hand Up Extremy Surg. 2010;14:41–5.
- Ersoy B. A new flap design for release of parallel contracture bands: dual opposing five-flap z-plasty. Burns. 2014;40:69–70.
- El-Sabbagh AH. How to do coverage of pre patellar lesions by cone flaps. Update Plast Surg. 2011;4:61–4.
- Pontes L, Ribeiro M, Vrancks JJ, Guimaraes J. The new bilaterally pedicled V-Y advancement flap for face reconstruction. Plast Reconstr Surg. 2002;109:1870–4.
- Micali E, Carramaschi FR. Extended V-Y latissimus dorsi musculocutaneous flap for anterior chest wall reconstruction. Plast Reconstr Surg. 2001;107:1382–90.
- Niranjan NS, Price RD, Govilkar P. Fascial feeder and perforator-based V-Y advance-ment flaps in the reconstruction of lower limb defects. Br J Plast Surg. 2000;53:679–89.
- Hollenbeck ST, Toranto JD, Taylor BJ, Ho TQ, Zenn MR, Erdmann D, Levin LS. Perineal and lower extremity reconstruction. Plast Reconstr Surg. 2011;128:551–63.
- Rubayi S, Chandrasekhar BS. Trunk, abdomen, and pressure sore reconstruction. Plast Reconstr Surg. 2011;128:201–5.
- Chen TH. Bilateral gluteus maximus V-Y advancement musculocutaneous flaps for the coverage of large sacral pressure sores: Revisit and refinement. Ann Plast Surg. 1995;35:492.
- Ulusoy MG, Koc¸ Er U, Sungur N, Karaaslan O, Kankaya Y, Ozdemir R, Gümüş M. Closure of meningomyelocele defects with bilateral modified V-Y advancement flaps. Ann Plast Surg. 2005;54:640–4.
- Verpaele AM, Blondeel PN, Van Landuyt K, Tonnard PL, Decordier B, Monstrey SJ, Matton G. The superior gluteal artery perforator flap: An additional tool in the treatment of sacral pressure sores. Br J Plast Surg. 1999;52:385–91.
- Labandter HP. The gracilis muscle flap and musculocutaneous flap in the repair of perineal and ischial defects. Br J Plast Surg. 1980;33:95–8.
- El-Sabbagh AH. The accordion gracilis muscle flap: a new design for coverage of recurrent and complicated ischeal pressure sores. Int Wound J. 2011;8:447–53.
- Siddiqui A, Wiedrich T, Lewis VL Jr. Tensor fasciae latae V-Y retroposition myocutaneous flap: Clinical experience. Ann Plast Surg. 1993;31:313–317.