The IGAP flap for ischial pressure sore reconstruction in tetraplegic patients

Inferior gluteal artery flap reconstruction following perineal sinus excision – a video vignette

“…The flap is raised in a lateral to medial direction and the perforators are mobilized from the gluteus maximus muscle by dissection along the line of the fibres. Some units use Doppler ultrasound to identify the perforating vessels , but we have not found this to be necessary. The flap is then de‐epithelialized and secured at the base of the tissue defect.…”