The Superior Gluteal Artery Perforator (SGAP) flap has been described as both a free
flap, in particular for breast reconstruction and as a pedicled flap for lumbar and
sacral soft tissue reconstruction. Much of the evolution of the flap was through work
on sacral pressure sores. Kroll and Rosenfield
1
described the use of perforator based flaps to reconstruct low posterior midline
defects in the late 1980s. This work was further evolved by Koshima,
2
whose work on pressure sores led him to explore the anatomy of the gluteal artery
perforators. Verpaele
3
modified this further by selecting the superior gluteal artery perforator as the
flap of choice for reconstruction in the sacral area. Leow et al
4
demonstrate the successful use of the flap in the management of sacral pressure sores
in cases of acquired paralysis. The SGAP flap has not been described in the literature
in patients who have been non-ambulatory since birth.To read this article in full you will need to make a payment
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References
- Perforator-Based flaps for low posterior midline defects.Plast Reconstr Surg. 1988 Apr; 81: 561-566
- The gluteal perforator based flap for repair of sacral pressure sores.Plast Reconstr Surg. 1993; 91: 678-683
- The superior gluteal artery perforator flap: an additional tool in the treatment of sacral pressure sores.Br J Plast Surg. 1999; 52: 385-391
- The superior gluteal artery perforator flap for the closure of sacral sores.Singapore Med J. 2004; Vol 45: 37-39
- Perforator-based interposition flaps for sustainable scar contracture release: a versatile, practical, and safe technique.Plast Reconstr Surg. April 2011; 127: 1524-1532
Article info
Publication history
Published online: September 19, 2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
