Fig. 3A–D.

(A) Preoperative appearance of a sacral pressure sore recurred after reconstruction of a bilateral SGAP flap. The area of the defect was 10 cm × 12 cm. (B) A photograph shows an intraoperative view of the pedicled fasciocutaneous flap of multi-island design. The area of the flap was 12 cm × 16 cm. (C) The recipient and donor sites of the wound were closed by the pedicled fasciocutaneous flap of multi-island design in a one-stage procedure. (D) The flap survived completely 32 months later without recurrence, and the appearance of the buttocks was symmetric.