Limberg Flap Customised for Sacral Pressure Sore

Vijay Yashpal Bhatia, Prayas Pradip Kumar, Vikram Wagh, Hitesh Bariya

Department of Plastic Surgery, Smt. NHL Municipal Medical College, India
Department of General Surgery, Smt. NHL Municipal Medical College, India

^*Correspondance to: Vijay Yashpal Bhatia 

 PDF  Full Text DOI: 10.25107/2474-1647.1958

Abstract

Background: Sacral pressure sores have been treated with a variety of flaps, including the rhomboid flap by Limberg. This paper outlines the rationale for using this flap, while laying down the guidelines for the number required and the methods, depending upon the size, orientation and excursion of the defect.Methods: We present our experience using the Limberg flap technique for treating sacral pressure sores. Thirty two patients were treated surgically with excision, sacral bone ostectomy and flap coverage, either single or multiple, depending upon the size, orientation and excursion of the defect. After flap coverage, all defects were closed over a suction drain.Results: Full primary healing occurred in twenty eight of the thirty two patients. Minor complications were noted in three patients and one patient required split thickness skin grafting, due to improper flap planning. The average hospital stay was 2 weeks.
Conclusion: The Limberg flap is a rapid, accurate and reliable alternative surgical technique utilizing local tissue in treating sacral pressure sore.

Keywords

Sacral pressure sore; Limberg flap; Rhomboid flap; Customized flaps

Cite the article

Bhatia VY, Kumar PP, Wagh V, Bariya H. Limberg Flap Customised for Sacral Pressure Sore. Clin Surg. 2018; 3: 1958.