Author's reply: Perineal reconstruction after abdominoperineal excision using inferior gluteal artery perforator flaps (Br J Surg 2012 99 584-588)

2012 ◽  
Vol 99 (8) ◽  
pp. 1166-1166
Author(s):  
A. Hainsworth ◽  
M. L. George
Keyword(s):  
Abdominoperineal Excision ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Perineal Reconstruction ◽  
Artery Perforator

Perineal reconstruction after abdominoperineal excision using inferior gluteal artery perforator flaps

2012 ◽  
Vol 99 (4) ◽  
pp. 584-588 ◽  
Author(s):  
A. Hainsworth ◽  
M. Al Akash ◽  
P. Roblin ◽  
P. Mohanna ◽  
D. Ross ◽  
...  
Keyword(s):  
Abdominoperineal Excision ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Perineal Reconstruction ◽  
Artery Perforator

The Use of Magnetic Resonance Imaging in Planning a Pedicled Perforator Flap for Pressure Sores in the Gluteal Region

2018 ◽  
Vol 17 (2) ◽  
pp. 106-112
Author(s):  
Sun-June Park ◽  
Kyeong-Tae Lee ◽  
Byung-Joon Jeon ◽  
Kyong-Je Woo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Perforator Flap ◽  
Gluteal Region ◽  
Pressure Sores ◽  
Resonance Imaging ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Superior Gluteal Artery ◽  
Artery Perforator

Pedicled perforator flaps (PPFs) have been widely used to treat pressure sores in the gluteal region. Selection of a reliable perforator is crucial for successful surgical treatment of pressure sores using PPFs. In this study, we evaluate the role of magnetic resonance imaging (MRI) in planning PPF reconstruction of pressure sores in the gluteal region. A retrospective chart review was performed in patients who had undergone these PPF reconstructions and who had received preoperative MRI. Preoperatively, the extent of infection and necrotic tissue was evaluated using MRI, and a reliable perforator was identified, considering the perforator location in relation to the defect, perforator size, and perforator courses. Intraoperatively, the targeted perforator was marked on the skin at the locations measured on the MRI images, and the marked location was confirmed using intraoperative handheld Doppler. Superior gluteal artery, inferior gluteal artery, or parasacral perforators were used for the PPFs. Surgical outcomes were evaluated. A total of 12 PPFs were performed in 12 patients. Superior gluteal artery perforator flaps were performed in 7 patients, inferior gluteal artery perforator flaps were performed in 3 patients, and parasacral perforator flaps were performed in 2 patients. We could identify a reliable perforator on MRI, and it was found at the predicted locations in all cases. There was only one case of partial flap necrosis. There was no recurrence of the pressure sores during the mean follow-up period of 6.7 months (range = 3-15 months). In selected patients with gluteal pressure sores, MRI is a suitable means for not only providing information about disease extent and comorbidities but also for evaluating perforators for PPF reconstructions.

Perineal and posterior vaginal wall reconstruction with superior and inferior gluteal artery perforator flaps

Microsurgery ◽  
2009 ◽  
Vol 29 (8) ◽  
pp. 626-629 ◽  
Author(s):  
Marcus J. D. Wagstaff ◽  
Warren M. Rozen ◽  
Iain S. Whitaker ◽  
Morteza Enajat ◽  
Thorir Audolfsson ◽  
...  
Keyword(s):  
Vaginal Wall ◽  
Posterior Vaginal Wall ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Artery Perforator

scholarly journals Unilateral Breast Reconstruction Using Bilateral Inferior Gluteal Artery Perforator Flaps

2015 ◽  
Vol 3 (3) ◽  
pp. e314 ◽  
Author(s):  
Toshihiko Satake ◽  
Mayu Muto ◽  
Marina Ogawa ◽  
Mai Shibuya ◽  
Kazunori Yasumura ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Artery Perforator

Superior and inferior gluteal artery perforator flaps in reconstruction of gluteal and perianal/perineal hidradenitis suppurativa lesions

Microsurgery ◽  
2011 ◽  
Vol 31 (7) ◽  
pp. 539-544 ◽  
Author(s):  
Cigdem Unal ◽  
Oktay Ahmet Yirmibesoglu ◽  
Jale Ozdemir ◽  
Mustafa Hasdemir
Keyword(s):  
Hidradenitis Suppurativa ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Artery Perforator

Superior and inferior gluteal artery perforator flaps

2009 ◽  
pp. 525-539
Author(s):  
Nassif Elias Soueid ◽  
Timothy S. Mountcastle ◽  
Joshua L. Levine ◽  
Robert J. Allen ◽  
Ernest S. Chiu ◽  
...  
Keyword(s):  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Artery Perforator

The Superior and Inferior Gluteal Artery Perforator Flaps

2007 ◽  
Vol 120 (6) ◽  
pp. 1551-1556 ◽  
Author(s):  
Reza Ahmadzadeh ◽  
Leonard Bergeron ◽  
Maolin Tang ◽  
Steven F. Morris
Keyword(s):  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Artery Perforator
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