Sliding Perforator Island Flap For Covering A Big Lumbosacral Defect

摘要

The use of perforator island flaps to cover big skin defects is described by many authors. Flex C.Behan 1 described this flap in many publications and showed many cases of hands, face,leg, upper back and other areas. (1,2,3,4,5,7) Closure of big defects is commonly done by skin grafting or distant flap transfer which often gives bulky masses. Use of transposed local flaps is an excellent idea which can employ different shapes like V-Y and other forms. (1) Case Report 36 years old Malay man who has a recurrent dermatofibrosarcoma protuberans on the back at the level of the lumbo-sacral region was subjected on 10th of July 2008 for excision of the lesion with a safety margin of 2 – 3 cm, as shown in fig (1) and (2) The defect measured 12 cm X 10 cm and was rhomboid shaped.The general surgeon asked to wait until histopathologist gave us the needed informations about the safety margin excised. When he confirmed that the margins are free of any neoplastic cells we proceeded to cover the defect.