ePlasty: Vol. 17
Reconstruction of an Irradiated Perineal Wound With a Superior Gluteal Artery Perforator Flap
Yangshu L. Pan, BA, and Albert H. Chao, MD

Department of Plastic Surgery, Ohio State University, Columbus


Correspondence: albert.h.chao@gmail.com
Keywords: perineal reconstruction, perforator, microsurgery, perforator flap, cervical cancer

DESCRIPTION

A 67-year-old woman presented with a nonhealing perineal wound following chemoradiation for cervical cancer. The defect measured 6 cm, with significant underlying dead space and exposed coccyx (Fig 1). The patient underwent reconstruction with a 2-perforator superior gluteal artery perforator (SGAP) flap to achieve wound closure while minimizing donor site morbidity.

Figure 1. Perineal wound upon presentation in a patient with a history of cervical cancer after chemotherapy and radiation therapy. The defect had an internal diameter of approximately 6 cm, with significant dead space and exposed coccyx.

QUESTIONS

1. What flaps are traditionally used for perineal reconstruction?

2. What considerations guide flap selection in perineal reconstruction?

3. What are the advantages of the SGAP flap compared with traditional opt .......