title: Chimeric Superficial Circumflex Iliac Perforator Flap Including External Oblique Fascia: A Refinement of Conventional Harvesting.
abstract: The superficial circumflex iliac perforator (SCIP) flap is one of the most suitable flaps to cover distal extremity defects due to its lack of bulkiness and donor site concealment. However, it is less popular than other perforator flaps due to its anatomical variations, short pedicle length, and small caliber vessels. We describe a novel design for the SCIP flap, consisting of a chimeric flap with a piece of the external oblique muscle fascia. The purpose of this design is to cover and protect the vascular anastomosis in distal lower limb defects where recipient vessels are superficial and skin coverage is poor. In addition, lengthening the pedicle with this design makes the flap more versatile. The addition of a cuff of fascia in harvesting of the SCIP flap lengthens the pedicle, allowing easier insetting of the skin paddle and providing complete protection and coverage of the vessels. This procedure allows greater versatility in inset of the skin paddle and is particularly suitable in cases where recipient vessels are superficial or when skin coverage is poor.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hospital de la Sant Creu i Sant Pau, Barcelona, Spain; and Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: Manuel
authors.initials: M
authors.lastname: Fernandez Garrido
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hospital de la Sant Creu i Sant Pau, Barcelona, Spain; and Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: Shan Shan
authors.initials: SS
authors.lastname: Qiu
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hospital de la Sant Creu i Sant Pau, Barcelona, Spain; and Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: Carmen
authors.initials: C
authors.lastname: Vega Garcia
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hospital de la Sant Creu i Sant Pau, Barcelona, Spain; and Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: Gemma
authors.initials: G
authors.lastname: Pons Playa
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hospital de la Sant Creu i Sant Pau, Barcelona, Spain; and Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: Jaume
authors.initials: J
authors.lastname: Masiá Ayala