Feliciano Beejay, Paige Keith T, Beshlian Kevin M
Section of Plastic and Reconstructive Surgery, Virginia Mason Medical Center, Mailstop: X11-PRS, 1100 Ninth Ave., P.O. Box 900, Seattle, WA 98111, USA.
Am J Surg. 2007 May;193(5):648-50. doi: 10.1016/j.amjsurg.2006.12.027.
Free tissue transfer for coverage of complex wounds in the ischial and sacral area can be limited by the lack of adequate recipient vessels.
We reviewed the records of 3 patients seen between August 2002 and December 2005 who underwent free tissue transfer to ischiosacral defects.
Two patients were quadriplegic, and 1 patient was ambulatory. The gluteal vessels were used as recipients in 2 patients, and 1 patient had an arteriovenous loop to the femoral vessels. All flaps were successful and all wounds healed.
A free latissimus flap to the ischiosacral area can be effective, and both local (gluteal) and regional (femoral) vessels can serve as recipient vessels.
