Effective Salvage Surgery of a Severely Congested Propeller Perforator Flap Using a Postoperative Delay Technique and Negative-Pressure Wound Therapy

Naohiro Ishii, Tomoki Kiuchi, Takahiro Uno, Yuichiro Uoya, Kazuo Kishi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Wound edge–based propeller perforator flaps have often been applied to soft tissue reconstruction of sacral pressure sores. Although this flap often causes necrosis due to overtension and twisting of the perforators, salvage surgery using a postoperative delay technique has not been reported thus far. In this article, we present a case in which we successfully reconstructed a sacral pressure sore using a wound edge–based propeller perforator flap. The flap caused severe congestion, which had a concern due to the potential wide-ranging flap loss; it was subsequently salvaged by an emergent delay procedure and negative-pressure wound therapy on day 2 postoperatively.

Original languageEnglish
Pages (from-to)86-88
Number of pages3
JournalInternational Journal of Lower Extremity Wounds
Volume19
Issue number1
DOIs
Publication statusPublished - 2020 Mar 1

Keywords

  • congestion
  • delay
  • negative-pressure wound therapy
  • pressure sore
  • propeller perforator flap

ASJC Scopus subject areas

  • Surgery

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