Pressure sore (PS), bedsores and decubitus ulcer have the same meaning used to describe ischemic tissue loss resulting from prolonged pressure over bony prominence . They can develop anywhere in the body , but often located in the trochanteric , ischial , heel , and sacral areas . Although tissue destruction can occur over areas like the sacrum, scalp, shoulders, calves, and heels when a patient is lying down, the ischial sores occur in wheelchair-bound patients who are sitting, making “pressure sore” the better term .
Aim of the work : The purpose of the work is to describe our experience in management of sacral pressure sore with gluteus maximus myocutaneous flap , its feasibility and outcome .
Methodology : Our prospective study has been conducted in General Surgery Department of Benha University Hospital from Feb 2017 to May 2018 on 20 patients after an approval from the research ethics committee in Benha Faculty of Medicine and all patients have signed informed consents that they have been involved in this study .
Results : Gluteus maximus flap in sacral pressure sores is highly feasible and effective method for treatment of sacral pressure ulcer . it has been associated with short operative time (average 45 min) and small amount of intraoperative bleeding (average 350 ml) , 6 cases out of 20 showed postoperative hematoma , 6 cases developed wound dehiscence and 3 cases developed infection , 2 cases developed partial flap necrosis , 4 cases developed pigmentation and 2 cases developed keloid and only on case developed postoperative recurrence .
Conclusion : The gluteus maximus myocutaneous flap is a useful , safe and versatile flap for the repair of sacral decubitus ulcer . It may be recommended as the procedure of choice for surgical treatment of this type of wound . Effective control of infection by medical and surgical means in early stages prevents progression of pressure ulcers and promotes early recovery .
Declaration of conflicting interests
The authors declare no potential conflicts of interest with respect to the research, authorship and publication of this article
Financial disclosure
The authors receive no financial support for the research project or in any techniques or equipment used in this study or in the publication of this article.
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