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

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
JournalInternational Journal of Lower Extremity Wounds
DOIs
Publication statusAccepted/In press - 2019 Jan 1

Fingerprint

Negative-Pressure Wound Therapy
Perforator Flap
Pressure Ulcer
Wounds and Injuries
Necrosis

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

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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.",
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AU - Kiuchi, Tomoki

AU - Uno, Takahiro

AU - Uoya, Yuichiro

AU - Kishi, Kazuo

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AB - 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.

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