PMC4485689_01
Sacral defects during the emergency procedure.
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The patient was conscious, cooperative and responsive, and presented with a tissue defect measuring approximately 15 x 6 cm, without active bleeding, at midline beginning 1 cm posterior to the anus (Fig. 1).
Computed tomography images of the sacral region.
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Computerized tomography indicated loss of the coccyx and sacral vertebrae, and multiple particle fractures of the sacral hiatus and left lower dorsal sacral foramen (Fig. 2).
Planning of the preoperative reconstruction (A and B); preparation of de-epithelized flaps; and (C); the closed skin defect (D).
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Under local anesthesia, skin flaps surrounding the wound were de-epithelized and advanced to fill the pouch, following which the skin was closed (Fig. 3).
Appearance following the second operation at week 6 (A); and after 2 years (B).
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No complications were encountered during the 2-year follow-up period (Fig. 4).