Between 1980 and 1995, 207 patients with 219 extensive pelvic pressure
sores underwent reconstructive surgery at our department. Eighty pati
ents operated upon between 1992 and 1995 were followed up. The postope
rative complication rate was 22% and the relapse rate 27%. Pre- and po
stoperative management has been standardized for the purposes of quali
ty control. The value of preoperative management, choice of flap, oper
ative procedure and postoperative care are discussed in this paper.