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Application of gluteus maximus fasciocutaneous V-Y advancement flap combined with resection in sacrococcygeal pressure ulcers: A CONSORT-compliant article.

Abstract Traditional gluteus maximus myocutaneous flaps have generally been used to fill tissue defects after resection of sacrococcygeal pressure ulcers. However, postoperative complications were gradually revealed as increasing operations were performed. This study aimed to introduce the innovative application of gluteus maximus fasciocutaneous V-Y advancement flaps for repairing tissue defects and to comparatively analyze the differences between the innovative and traditional flaps.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29381989
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - Application of gluteus maximus fasciocutaneous V-Y advancement flap combined with
      resection in sacrococcygeal pressure ulcers: A CONSORT-compliant article.
PG  - e8829
LID - 10.1097/MD.0000000000008829 [doi]
AB  - BACKGROUND: Traditional gluteus maximus myocutaneous flaps have generally been
      used to fill tissue defects after resection of sacrococcygeal pressure ulcers.
      However, postoperative complications were gradually revealed as increasing
      operations were performed. This study aimed to introduce the innovative
      application of gluteus maximus fasciocutaneous V-Y advancement flaps for
      repairing tissue defects and to comparatively analyze the differences between the
      innovative and traditional flaps. METHODS: A total of 32 cases were included in
      this study. All the PU lesions were removed by resection. Sixteen cases used the 
      gluteus maximus myocutaneous flaps, and the remaining 16 cases used gluteus
      maximus fasciocutaneous V-Y advancement flaps to fill the tissue defects after
      surgery. Comparative analysis between the gluteus maximus myocutaneous flaps and 
      gluteus maximus fasciocutaneous V-Y advancement flaps was used to evaluate the 2 
      flaps based on the mean operating time, postoperative infection, paresthesia,
      appearance of flaps, and recurrence. RESULTS: The gluteus maximus fasciocutaneous
      V-Y advancement flaps required a reduced operating time and a more simple
      operation compared with the gluteus maximus myocutaneous flaps. Although the
      infectious risk of the gluteus maximus fasciocutaneous V-Y advancement flaps was 
      reduced compared with the gluteus maximus myocutaneous flaps, the gluteus maximus
      myocutaneous flaps have a better appearance compared with the gluteus maximus
      fasciocutaneous V-Y advancement flaps. Most importantly, no flap necrosis was
      noted, and the recurrence rate during follow-up was reduced in cases using the
      gluteus maximus fasciocutaneous V-Y advancement flaps. CONCLUSION: The combined
      application of gluteus maximus fasciocutaneous V-Y advancement flaps with
      surgical resection can reduce the postoperative complications and aid in the
      treatment of sacrococcygeal pressure ulcers.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Liu, Xing
AU  - Liu X
AD  - Department of Trauma and Microsurgery, The 324 Hospital of PLA, Chongqing.
FAU - Lu, Wan
AU  - Lu W
AD  - Department of Hyperbaric Oxygen, The 452 Hospital of PLA, Chengdu.
FAU - Zhang, Yidong
AU  - Zhang Y
AD  - Department of Trauma and Microsurgery, The 324 Hospital of PLA, Chongqing.
FAU - Liu, Yun
AU  - Liu Y
AD  - Department of Urinary Surgery, The Second Affiliated Hospital of The Third
      Military Medical University, Chongqing, China.
FAU - Yang, Xinghua
AU  - Yang X
AD  - Department of Trauma and Microsurgery, The 324 Hospital of PLA, Chongqing.
FAU - Liao, Sheng
AU  - Liao S
AD  - Department of Trauma and Microsurgery, The 324 Hospital of PLA, Chongqing.
FAU - Zhang, Zhongrong
AU  - Zhang Z
AD  - Department of Trauma and Microsurgery, The 324 Hospital of PLA, Chongqing.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Buttocks
MH  - Comparative Effectiveness Research
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - Postoperative Complications/etiology
MH  - Pressure Ulcer/*surgery
MH  - Recurrence
MH  - Sacrococcygeal Region
MH  - Surgical Flaps/*transplantation
MH  - Treatment Outcome
PMC - PMC5708988
EDAT- 2018/02/01 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - 10.1097/MD.0000000000008829 [doi]
AID - 00005792-201711270-00080 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8829. doi: 10.1097/MD.0000000000008829.