Superficial circumflex iliac artery perforator flap for reconstruction of limb defects.
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.
Koshima
Isao
I
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Dentistry, Okayama University, Kawasaki Medical School, Japan. plakoshi@cc.okayama-u.ac.jp
Nanba
Yuzaburo
Y
Tsutsui
Tetsuya
T
Takahashi
Yoshio
Y
Urushibara
Katsuyuki
K
Inagawa
Kiichi
K
Hamasaki
Tamiko
T
Moriguchi
Takahiko
T
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