title: Superficial circumflex iliac artery perforator flap for reconstruction of limb defects.
abstract: The superficial circumflex iliac artery perforator (SCIP) flap differs from the established groin flap in that it is nourished by only a perforator of the superficial circumflex iliac system and has a short segment (3 to 4 cm in length) of this vascular system. Three cases in which free superficial circumflex iliac artery perforator flaps were successfully transferred for coverage of soft-tissue defects in the limb are described in this article. The advantages of this flap are as follows: no need for deeper and longer dissection for the pedicle vessel, a shorter flap elevation time, possible thinning of the flap with primary defatting, the possibility of an adiposal flap with customized thickness for tissue augmentation, a concealed donor site, minimal donor-site morbidity, and the availability of a large cutaneous vein as a venous drainage system. The disadvantages are the need for dissection for a smaller perforator and an anastomosing technique for small-caliber vessels of less than 1.0 mm.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Dentistry, Okayama University, Kawasaki Medical School, Japan. plakoshi@cc.okayama-u.ac.jp
authors.forename: Isao
authors.initials: I
authors.lastname: Koshima
authors.forename: Yuzaburo
authors.initials: Y
authors.lastname: Nanba
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tsutsui
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Urushibara
authors.forename: Kiichi
authors.initials: K
authors.lastname: Inagawa
authors.forename: Tamiko
authors.initials: T
authors.lastname: Hamasaki
authors.forename: Takahiko
authors.initials: T
authors.lastname: Moriguchi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005121:Extremities / Q000293:injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000033:anatomy & histology; D008080:Liposarcoma / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013848:Thigh / Q000601:surgery