Lumbar perforator flap for closure of sacral tissue defect after lipomyelomeningocele

Lumbar perforator flap for closure of sacral tissue defect after lipomyelomeningocele 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. European Journal of Plastic Surgery Springer Journals

Lumbar perforator flap for closure of sacral tissue defect after lipomyelomeningocele

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Springer Berlin Heidelberg
Copyright © 2014 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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