University Journal of Surgery and Surgical Specialities
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Bilateral Gluteus Maximus advancement flap for reconstruction of sacrectomy defect- A Case report and Review of Literature
Abstract
Objective -Complex tissue defects following
excision of sacral tumor often present
a clinical challenge to the reconstructive
surgeon. In this article, we present the
bilateral gluteus maximus advancement
muscle flap for immediate reconstruction
of the extensive sacral defect after resection
of large sacral chordomas.Materials
and Methods We describe a case of a 54
-year-old man who presented with a
longstanding history of sacral chordoma.
He underwent mid sacral amputation creating
a large sacral defect of size 15cm x
20 cm. Bilateral gluteus maximus advancement
based on the superior gluteal
artery was done.Results No complication
was observed during the postoperative
period. The patient was healthy and no
recurrence was observed during the 03
month follow-up period.Conclusion The
bilateral gluteus maximus advancement
flap based on superior gluteal artery provides
a reliable solution for the surgical
reconstruction of large sacral defect following
sacral chordoma excision.
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