en عمومى General مقالات اصيل Original Article <p><strong>BACKGROUND</strong></p> <p>Lesions in perineal area are common. The usual treatment is coverage by skin graft and flaps which may be local, pedicled or free types. In this paper V-Y flaps were used to cover the defects. <strong>METHODS</strong></p> <p>V-Y flaps were used in the gluteal area in 15 patients. Lesions were due to different causes. <strong>RESULTS</strong></p> <p>Of 15 patients, 11 were males and 4 were females. Their ages ranged from 3 weeks to 52 years old. Two cases were due to myelomeningocele, necrotizing fasciitis (2 cases) and the rest were due to bed sores (11 cases).&nbsp; The flaps were located over the trochanter (3 cases), ischial (6 cases) and sacral (6 cases). Good healing and durable coverage were obtained in all cases except one case. &nbsp;</p> <p><strong>CONCLUSION</strong></p> <p>V-Y flap as a working horse flap is recommended in the gluteal area.</p> Gluteal area, Lesions, V-Y design 154 159 http://wjps.ir/browse.php?a_code=A-10-147-1&slc_lang=en&sid=1 ahmed el-sabbagh elsabbagh17@hotmail.com 10031947532846001871 10031947532846001871 Yes mansoura university