Reconstruction of an Irradiated Perineal Wound With a Superior Gluteal Artery Perforator Flap

Yangshu L. Pan, BA; Albert H. Chao, MD


ePlasty. 2017;17(ic28) 

In This Article


A 67-year-old woman presented with a nonhealing perineal wound following chemoradiation for cervical cancer. The defect measured 6 cm, with significant underlying dead space and exposed coccyx (Figure 1). The patient underwent reconstruction with a 2-perforator superior gluteal artery perforator (SGAP) flap to achieve wound closure while minimizing donor site morbidity.

Figure 1.

Perineal wound upon presentation in a patient with a history of cervical cancer after chemotherapy and radiation therapy. The defect had an internal diameter of approximately 6 cm, with significant dead space and exposed coccyx.