PMC3385381_01
The view of the 28 x 25 cm sacral defect before debridement. It was treated with gluteus maximus myocutaneous flap from the left gluteal area following sacrectomy. Postoperative suture detachment in the midline yielded the large defect with radionecrosis
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F1
The surrounding tissues showed post radiotherapy changes with intense inflammation and unstable parchment like skin [Figure 1].
The omentum flap based on the right gastroepiploic artery was raised
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F2
The omentum was elevated on the right gastroepiploic artery [Figure 2] together with the General Surgery team.
The omentum was passed through the Petit triangle and adapted to the sacral defect
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F3
The omentum flap was passed through this tunnel and adapted to the sacral defect [Figure 3].
Postoperative result of the omentum flap 1 year after reconstruction of the lumbosacral area
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F4
During the 1-year follow-up, no recurrence was encountered [Figure 4].