Abstract
Introduction A 44-year-old man was presented with chronic discharging multiple perianal fistula
and squamous cell carcinoma of the left buttock.
Report The patient was subjected to wide local excision of the entire left gluteal and adjacent
sacral regions and reconstruction with extended island inferior gluteal artery based
V–Y myocutaneous advancement flap.
Result and Conclusion Extended island inferior gluteal based V–Y flap can be a good option for extensive
defects involving the gluteal region and the sacrum.
Keywords
gluteal reconstruction - musculocutaneous flap - pedicle flap - post oncological defect