Open AccessIntraoperative indocyanine green fluorescent angiography‐assisted modified superior gluteal artery perforator flap for reconstruction of sacral pressure sores
Author(s) -
Chang ChunKai,
Wu ChienJu,
Chen ChunYu,
Wang ChiYu,
Chu TziShiang,
Hsu KuoFeng,
Chiu HanTing,
Liu HungHui,
Chou ChangYi,
Wang ChihHsin,
Lin ChinTa,
Dai NiannTzyy,
Tzeng YuanSheng
Publication year - 2017
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.12781
Subject(s) - medicine , surgery , indocyanine green , indocyanine green angiography , dehiscence , pressure sores , wound dehiscence , angiography , radiology , fluorescein angiography , visual acuity
Pressure sores are often observed in patients who are bedridden. They can be a severe problem not only for patients and their caregivers but also for plastic surgeons. Here, we describe a new method of superior gluteal artery perforator flap harvesting and anchoring with the assistance of intraoperative indocyanine green fluorescent angiography. In this report, we describe the procedure and outcomes for 19 patients with grades III and IV sacral pressure sores who underwent the operation between September 2015 and November 2016. All flaps survived, and two experienced wound‐edge partial dehiscence. With the assistance of this imaging device, we were able to acquire a reliable superior gluteal artery perforator flap and perform modified operations with it that are safe, easy to learn and associated with fewer complications than are traditional.