Large lumbosacral meningomyelocele closure with gluteus maximus musculocutaneous hatchet flap

Large lumbosacral meningomyelocele closure with gluteus maximus musculocutaneous hatchet flap We present a modified version of the gluteus maximus musculocutaneous flap for covering large lumbosacral defects. Emmett's hatchet flap (skin flap) is widely used for covering skin defects and with very good results. We prepare the gluteus maximus musculocutaneous flap by Emmett's method. Both muscle and skin are incised in a hatchet shape. The collateral blood supply between superior gluteal artery and inferior gluteal artery in the intact muscle bridge is not damaged. The skin and muscle bridge does not restrict the flap's mobility. The advantages of our method are: there is no need for a split skin graft; the donor area can be closed primarily; it provides a thick, heavy-duty, muscle-padded skin over the dural sac; the blood circulation of the flap is safe; the loss of one-half of the gluteus muscle causes no functional or esthetic disturbance. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Large lumbosacral meningomyelocele closure with gluteus maximus musculocutaneous hatchet flap

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Publisher
Springer-Verlag
Copyright
Copyright © 2003 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-002-0451-z
Publisher site
See Article on Publisher Site

Abstract

We present a modified version of the gluteus maximus musculocutaneous flap for covering large lumbosacral defects. Emmett's hatchet flap (skin flap) is widely used for covering skin defects and with very good results. We prepare the gluteus maximus musculocutaneous flap by Emmett's method. Both muscle and skin are incised in a hatchet shape. The collateral blood supply between superior gluteal artery and inferior gluteal artery in the intact muscle bridge is not damaged. The skin and muscle bridge does not restrict the flap's mobility. The advantages of our method are: there is no need for a split skin graft; the donor area can be closed primarily; it provides a thick, heavy-duty, muscle-padded skin over the dural sac; the blood circulation of the flap is safe; the loss of one-half of the gluteus muscle causes no functional or esthetic disturbance.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Feb 1, 2003

References

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