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KMID : 1190620130090020118
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Journal of the Korean Wound Care Society
2013 Volume.9 No. 2 p.118 ~ p.121
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Treatment of Sacral Chronic Wound with Enterocutaneous and Vesicorectal Fistula Using Superior Gluteal Artery Perforator Flap: A Case Report
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Kang Bo-Young
Mun Goo-Hyun
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Abstract
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In case of deep tissue defects accompanying other adverse conditions, especially such as enterocutaneous or vesicorectal fistula, reconstruction of sacral wound without complication is arduous conundrum. For successful outcome, it is crucial to eliminate dead space and causes that disturb wound healing, so that surgeons can prevent postoperative complication and recurrences. In this report, we described a case of chronic sacral wound with enterocutaneous and vesicorectal fistula after lower anterior resection of rectal cancer which made continuous drainage to open wound. Using superior gluteal artery perforator flap with precise flap insetting, authors provided adequate volume of soft tissue and external coverage with minimal donor site morbidity and stable healing status was achieved.
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KEYWORD
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Enterocutaneous fistula, Vesicorectal fistula, Sacral wound, Superior gluteal artery perforator flap
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