Verpaele A M, Blondeel P N, Van Landuyt K, Tonnard P L, Decordier B, Monstrey S J, Matton G
Department of Plastic and Reconstructive Surgery, University Hospital Gent, Belgium.
Br J Plast Surg. 1999 Jul;52(5):385-91. doi: 10.1054/bjps.1999.3101.
We describe the use of a large skin-subcutaneous tissue flap based on one perforator of the superior gluteal artery (SGA) to reconstruct large midline posterior defects in one stage. The integrity of the gluteus muscles is preserved and we feel this is particularly important in non-paralysed patients. Donor sites were always closed primarily. Use of the superior gluteal artery perforator (SGAP) flap preserves the entire contralateral side as a future donor site. On the ipsilateral side, the gluteal muscle itself is preserved and all flaps based on the inferior gluteal artery are still possible. We recommend this flap in an area where reconstructive possibilities are limited, as it preserves other reconstructive flap options, both on the ipsilateral and contralateral sides.
我们描述了一种基于臀上动脉（SGA）的一个穿支的大型皮肤-皮下组织瓣的应用，用于一期重建大型中线后部缺损。臀肌的完整性得以保留，我们认为这在非瘫痪患者中尤为重要。供区总是一期关闭。使用臀上动脉穿支（SGAP）瓣可保留对侧整个部位作为未来的供区。在同侧，臀肌本身得以保留，所有基于臀下动脉的皮瓣仍然可行。在重建可能性有限的区域，我们推荐使用这种皮瓣，因为它保留了同侧和对侧的其他重建皮瓣选择。
