Lumbar perforator flap for closure of sacral tissue defect after lipomyelomeningocele

Deniz Dayicioglu, Kenneth Fan, Piotr Skowronski, Wrood Kassira, Seth R. Thaller, Burak Sercan Ercin, Allan D. Levi

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Complex sacral midline defects following spinal surgery have been traditionally closed with either muscle or musculocutaneous flaps. We present a case with a complicated sacral wound extending to the medulla spinalis after a lipomeningomyelocele excision in an ambulating adult. Wound was repaired with a lumbar perforator-based rotation flap. This well-vascularized flap is relatively easy to harvest, and results in minimal donor site morbidity, provides adequate dimensions, and permits primary closure of donor defect. In addition, the flap allows for anatomic muscle approximation without sacrificing the muscle functions, and provides reliable soft tissue coverage. Level of Evidence: Level V, therapeutic study.

Original languageEnglish (US)
Pages (from-to)173-176
Number of pages4
JournalEuropean Journal of Plastic Surgery
Volume37
Issue number3
DOIs
StatePublished - Mar 1 2014

Keywords

  • Coverage
  • Defect
  • Flap
  • Lipomyelomeningocele
  • Lumbar
  • Perforator
  • Reconstruction
  • Sacral

ASJC Scopus subject areas

  • Surgery

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