Background: Pressure ulcer reconstruction remains a great challenge for plastic surgeons because of their high postoperative complication and recurrence rates. Commonly these ulcers are reconstructed with random pattern flaps or myocutaneous flaps. Gluteal artery perforator flaps have evolved in the last few decades and became popular in reconstructing pressure ulcers in the gluteal region because they preserve the gluteal muscle, allowing for revision in cases of recurrence.Objective: To evaluate the use of gluteal artery perforator flaps in reconstructing pressure ulcers of the gluteal region as regards aesthetic outcome, postoperative complications and patients' psychological satisfaction.Patients and Methods: Our study was conducted on 15 patients presented with grade IV pressure ulcers in the gluteal region, in which their ulcers were reconstructed with gluteal artery perforator flaps.Results: Twelve (80%) patients healed eventually without major complications. Two (13.3%) patients had wound edge dehiscence, and only one (6.7%) patient had a donor site wide scar. Patients were evaluated as regards aesthetic outcomes and patients' psychological satisfaction, and the overall results were satisfactory. Conclusion:The superior and inferior gluteal artery perforator flaps, with their safe anatomical basis, less morbidity and versatility in designs, are reliable and effective alternatives in reconstructing pressure ulcers of the gluteal region.

Background: The dorsum of the hand is a very specialized region with thin and fragile skin characterized by poor subcutaneous tissue. Aim and Objectives:The work aimed to introduce methods of reconstruction of the soft tissue defects of the dorsum of the hand and wrist with exposed tendons, joints, nerves, and bones and compare these methods for each region.Patients and Methods: This prospective clinical study was carried out on 30 patients who presented with soft tissue defects of the dorsum of the hand and exposed vital structures. Patients were treated with dorsum hand reconstruction using different pedicle flaps, either local, regional, or distant flaps, from October 2018 to March 2021. Patients will be selected from the

No abstract