Weijian Chen’s research while affiliated with First Affiliated Hospital of China Medical University and other places

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Publications (1)

Figure 1-Photograph showing A) a 47-year-old female involved in a traffic accident with right femoral shaft fracture, bedridden long-term lead to a sacral sore with the size of 5×6 cm 2 after debridement. B) The superior gluteal artery perforator (SGAP) flap with the size of 7×20 cm 2 was harvested to cover the defect. C) The operative region was closed primarily without tension, suction drainages were applied under the flap and defect. D) The flap survived and healed primary. After 10 months of follow-up, there was no donor site morbidity, no recurrence, the texture, functions and appearance of flaps were satisfactory. 
Figure 2-Photograph showing A) a 38-year-old paraplegic man with severe spinal cord injury and developed a deep sacral and 2 trochanteric pressure sores. The defect of sacral region measured 8×9 cm 2 after debridement. B) A flap of 9×16 cm 2 based on a superior gluteal artery perforator was harvest to reconstruct the defect, the wound of trochanteric pressure sores was closed directly after excised the necrotic tissue and granulation tissue. C) The flap survived and healed primary after 10 days postoperative. D) With a follow-up of 2 years, the original sacral sore region and ischial pressure ulcers were uneventful. 
The superior gluteal artery perforator flap for reconstruction of sacral sores
  • Article
  • Full-text available

October 2016

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218 Reads

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10 Citations

Saudi Medical Journal

Weijian Chen

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Bo Jiang

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Jiaju Zhao

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This report describes our experiences using the superior gluteal artery perforator (SGAP) flaps for reconstruction of 2 sacral sore cases. A 47-year-old female patient and a 38-year-old man with sacral sores were treated in our unit. The size of the defects were approximately 5×6 cm2 and 8×9 cm2, the defects were repaired by SGAP flaps. The size of designed was SGAP flaps varied from 7×20 to 9×16 cm2. All flaps survived and healed primary, the texture, functions, and appearance of flaps were satisfactory, and also without region dysfunction of donor and recipient sites. The SGAP flap, which has reliable blood supply, preserves the gluteus maximus muscle and could be transferred simply and safely, is an ideal and reusable method to reconstruct sacral sores with low rate of postoperative recurrence and satisfactory appearance.

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Citations (1)

... Likewise, Lin et al used PSAPs for sacral coverage of a pressure sore with essential dimensions of almost 200 cm 2 . 2 In comparison, SGAP flaps of a similar size of up to 140 cm 2 close to the PSAP area can be harvested, but with a rotation point away from the midline. 20 De-epidermization of the gluteal flaps, essential for gluteal augmentation, makes clinical monitoring difficult due to the absence of a skin paddle. Therefore, total or partial failure would result either in local acute complications (cytosteatonecrosis, seroma, infection, etc) or significant volume reduction of the flap. ...

Reference:

A Dynamic Anatomic Study of Parasacral Perforators: Mapping, Perforasome, and Applications for Buttock Enhancement
The superior gluteal artery perforator flap for reconstruction of sacral sores

Saudi Medical Journal

Weijian Chen

·

Bo Jiang

·

Jiaju Zhao

·