Park SK, Schank KJ, Engwall-Gill A, Clarkson JHW, et al.
BMJ case reports. Date of publication 2022 Mar 29;volume 15(3):.
1. BMJ Case Rep. 2022 Mar 29;15(3):e248411. doi: 10.1136/bcr-2021-248411.
Superior gluteal artery perforator flap salvaged via hyperbaric oxygen therapy.
Park SK(1)(2), Schank KJ(3)(2), Engwall-Gill A(3)(2), Clarkson JHW(3)(2).
Author information:
(1)Department of Surgery, Michigan State University, East Lansing, Michigan, USA
parksean@msu.edu.
(2)Department of Surgery, Sparrow Health System, Lansing, Michigan, USA.
(3)Department of Surgery, Michigan State University, East Lansing, Michigan,
USA.
The superior gluteal artery perforator (SGAP) flap can be challenging and in
common with all flaps can develop venous and arterial insufficiency. Several
prior studies have demonstrated the successful utility of hyperbaric oxygen
therapy (HBOT) in the salvage of compromised flaps, mainly with deep inferior
epigastric perforator, latissimus dorsi or transverse rectus abdominis
myocutaneous flaps. SGAP flaps are autologous alternatives to abdominal-based
flaps and provides adequate adipose tissue for breast reconstruction. We report
a case of a woman in her 50s who underwent a delayed bilateral breast
reconstruction using SGAP free flaps. Postoperatively, venous congestion of her
right breast flap was noted for which she was referred for HBOT. An acceptable
aesthetic result was achieved following 17 HBOT treatments. This is the first
case we can find in the published literature of ischaemic SGAP free flap being
salvaged by HBOT.
© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and
permissions. Published by BMJ.
DOI: 10.1136/bcr-2021-248411
PMCID: PMC8966518
PMID: 35351757 [Indexed for MEDLINE]
Conflict of interest statement: Competing interests: None declared.
