Turkish Journal of Plastic Surgery

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 27  |  Issue : 1  |  Page : 9--13

Inferior gluteal artery perforator flap for closure of sacral defects after pilonidal sinus surgery


Zulfikar Ulas Bali1, Anvar Ahmedov2, Burak Ozkan3, Mustafa Mazican4, Yavuz Kececi1 
1 Department of Plastic and Reconstructive Surgery, Manisa Celal Bayar University, Manisa, Turkey
2 Department of Plastic and Reconstructive Surgery, Evliya Çelebi Hospital, Kütahya, Turkey
3 Department of Plastic and Reconstructive Surgery, Baskent University, Ankara, Turkey
4 Department of Radiology, Baskent University, Adana, Turkey

Correspondence Address:
Dr. Yavuz Kececi
119/4 Sokak 1/1 C Blok Daire 8, Evka 3, Bornova, Izmir
Turkey

Introduction: The aim of the current study was to introduce the use of the inferior gluteal artery perforator flap (IGAPF) as a new alternative surgical technique for closure of sacral defects after pilonidal sinus surgery. Patients and Methods: Inferior gluteal artery perforators were used on 15 male patients operated in the plastic and reconstructive surgery department of our tertiary care centers between March 2014 and May 2017. Age, size of the defect, duration of follow-up, complications, and recurrence rate were assessed. Results: The average age was 30.2 (range: 17–54) years, and the mean duration of follow-up was 8.2 (range: 7–16) months. No recurrence was detected within the follow-up period, and the only remarkable complication reported was total flap necrosis attributed to venous congestion in one patient. The mean size of the defects after excision was 21.6 cm2. Conclusion: Our preliminary results imply that IGAPF can be a safe and effective alternative for closure of large defects after pilonidal sinus surgery. Further controlled trials on larger series are warranted to establish the advantages and disadvantages of this alternative technique.


How to cite this article:
Bali ZU, Ahmedov A, Ozkan B, Mazican M, Kececi Y. Inferior gluteal artery perforator flap for closure of sacral defects after pilonidal sinus surgery.Turk J Plast Surg 2019;27:9-13


How to cite this URL:
Bali ZU, Ahmedov A, Ozkan B, Mazican M, Kececi Y. Inferior gluteal artery perforator flap for closure of sacral defects after pilonidal sinus surgery. Turk J Plast Surg [serial online] 2019 [cited 2021 Oct 26 ];27:9-13
Available from: http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2019;volume=27;issue=1;spage=9;epage=13;aulast=Bali;type=0