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Related to Superior gluteal artery: external iliac artery, femoral artery, obturator artery
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The superior gluteal artery perforator flap for the closure of sacral sores.
The superior gluteal artery give articular branch run above or deep to piriformis therefore the course has to be observed carefully.
[sup][5] introduced the superior gluteal artery perforator (SGAP) flap for covering sacral pressure sores.
Extensive packing was used until a vascular surgeon arrived and used clips to control the bleeding from the superior gluteal artery that was injured deep inside the pelvis.
Monstrey, "Soft tissue reconstruction with the superior gluteal artery perforator flap," Clinics in Plastic Surgery, vol.
The branches from the posterior division are all parietal, namely, iliolumbar artery (IL), lateral sacral artery (LS), and superior gluteal artery (SG) [1].
In the case presented, we believe that the injury to the distal branch of the superior gluteal artery occurred during placement of the initial threaded guidewire while locating the greater trochanteric start point for cephalomedullary nail insertion.
However, there has been a change from the musculocutaneous flap to the fasciocutaneous flap, with the pedicled superior gluteal artery perforator (SGAP) fasciocutaneous flap adapted for sacral pressure sore reconstruction.
While safe and effective, SGAP, named for the use of the superior gluteal artery perforator, is usually deforming (taking a large chunk of tissue from the buttocks flattens its usual rounded appearance), often requires follow-up surgery to reshape the buttocks, and provides surgeons with a piece of tissue whose blood vessel length often makes it difficult to connect to a vessel in the chest, Rad says.
The two types of flaps from the gluteal region are the SGAP (superior gluteal artery perforator) and the IGAP (inferior gluteal artery perforator).
A computed tomography (CT) angiogram revealed a false aneurysm with extravasation from the left superior gluteal artery with a massive pelvic retroperitoneal haematoma (Fig.

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