Superficial Circumflex Iliac Artery Perforator Flap for the Coverage of Limb Defects
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Published:
Dec 16, 2021
Keywords:
Perforator flap, SCIP, circunflex iliac superficial artery, perforosome, inguinal
Main Article Content
Abstract
The superficial circumflex iliac artery perforator (SCIP) flap is a thin, pliable, and versatile flap used mainly for extremities and head and neck reconstruction. Materials and methods: We presented 3 cases of SCIP flap reconstructions. Two pediatric cases for the reconstruction of traumatic sequelae of the hand and dorsal foot. One adult case for the reconstruction of a severe burn of the dorsal hand.
Conclusion: The SCIP flap is ideal for the reconstruction of the dorsal aspect of the hand, foot, and flexion crease. Despite the anatomical variations in the origin of the superficial circumflex iliac artery, the use of microsurgical techniques and super-microsurgery allows safe harvesting of a thin flap of moderate to large dimensions, with low morbidity in the donor area.
Conclusion: The SCIP flap is ideal for the reconstruction of the dorsal aspect of the hand, foot, and flexion crease. Despite the anatomical variations in the origin of the superficial circumflex iliac artery, the use of microsurgical techniques and super-microsurgery allows safe harvesting of a thin flap of moderate to large dimensions, with low morbidity in the donor area.
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How to Cite
Valbuena, S. E., Pereira, E. F., & Conde, B. N. (2021). Superficial Circumflex Iliac Artery Perforator Flap for the Coverage of Limb Defects. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(6), 812-820. https://doi.org/10.15417/issn.1852-7434.2021.86.6.1035
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Case Presentations
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References
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circumflex iliac artery perforator flap. J Reconstr Microsurg 2015;31(9):631-5. https://doi.org/10.1055/s-0035-1558959
10. Suh HS, Jeong HH, Choi DH, Hong JP. Study of the medial superficial perforator of the superficial circumflex
iliac artery perforator flap using computed tomographic angiography and surgical anatomy in 142 patients. Plast
Reconstr Surg 2017;139(3):738-8. https://doi.org/10.1097/PRS.0000000000003147
11. Nam YS, Han SH, Paik DJ. Morphometrics of arterial supply for superficial circumflex iliac artery flap in Koreans. Korean Journal of Physical Anthropology 2006;19(1):111. https://doi.org/10.11637/kjpa.2006.19.1.1
12. Del Sol M, Vasquez B. Arteria circunfleja iliaca superficial. Importancia anátomo quirúrgica. Int J Morphol
2013;31(2):629-32. https://doi.org/10.4067/S0717-95022013000200046
13. Yoshimatsu H, Steinbacher J, Meng S, Hamscha UM, Weninger WJ, Tinhofer IE, et al. Superficial circumflex iliac
artery perforator flap: An anatomical study of the correlation of the superficial and the deep branches of the artery and evaluation of perfusion from the deep branch to the sartorius muscle and the iliac bone. Plast Reconstr Surg 2019;143(2):589-602. https://doi.org/10.1097/PRS.0000000000005282
14. Koshima I, Nanba Y, Nagai A, Nakatsuka M, Sato T, Kuroda S. Penile reconstruction with bilateral superficial
circumflex iliac artery perforator (SCIP) flaps. J Reconstr Microsurg 2006;22(3):137-42. https://doi.org/10.1055/s-2006-939957
15. Sinna R1, Hajji H, Qassemyar Q, Perignon D, Benhaim T, Havet E. Anatomical background of the perforator
flap based on the deep branch of the superficial circumflex iliac artery (SCIP Flap): a cadaveric study. Eplasty
2010;10:11. PMID: 20090859
16. Goh TL, Park SW, Cho JY, Choi JW, Hong JP. The search for the ideal thin skin flap: superficial circumflex iliac
artery perforator flap--a review of 210 cases. Plast Reconstr Surg 2015;135(2):592-601. https://doi.org/10.1097/PRS.0000000000000951
2. Daniel RK, Taylor GI. Distant transfer of an island flap by microvascular anastomoses: A clinical technique. Plast
Reconstr Surg 1973;52(2):111-7. https://doi.org/10.1097/00006534-197308000-00001
3. Koshima I, Nanba Y, Tsutsui T, Takahashi Y, Urushibara K, Inagawa K, et al. Superficial circumflex iliac artery
perforator flap for reconstruction of limb defects. Plast Reconstr Surg 2004;113(1):233-40. https://doi.org/10.1097/01.PRS.0000095948.03605.20
4. Kim JT, Kim SW. Perforator flap versus conventional flap. J Korean Med Sci 2015;30(5):514-22.
https://doi.org/10.3346/jkms.2015.30.5.514
5. Saint-Cyr M, Wong C, Schaverien M, Mojallal A, Rohrich RJ. The perforasome theory: vascular anatomy and
clinical implications. Plast Reconstr Surg 2009;124(5):1529-44. https://doi.org/10.1097/PRS.0b013e3181b98a6c
6. Hong JP, Choi DH, Suh H, Mukarramah DA, Tashti T, Lee K, et al. A new plane of elevation: the superficial fascial
plane for perforator flap elevation. J Reconstr Microsurg 2014;30(7):491-6. https://doi.org/10.1055/s-0034-1369807
7. Jeong HH, Hong JP, Suh HS. Thin elevation: A technique for achieving thin perforator flaps. Arch Plast Surg
2018;45(4):304-13. https://doi.org/10.5999/aps.2017.01529
8. del Piñal F, García-Bernal FJ, Studer A, Ayala H, Cagigal L, Regalado J. Super-thinned iliac flap for major defects
on the elbow and wrist flexion creases. J Hand Surg Am 2008;33(10):1899-1904. https;//doi.org/10.1016/j.jhsa.2008.09.023
9. Kim JH, Kim KN, Yoon CS. Reconstruction of moderate-sized distal limb defects using a superthin superficial
circumflex iliac artery perforator flap. J Reconstr Microsurg 2015;31(9):631-5. https://doi.org/10.1055/s-0035-1558959
10. Suh HS, Jeong HH, Choi DH, Hong JP. Study of the medial superficial perforator of the superficial circumflex
iliac artery perforator flap using computed tomographic angiography and surgical anatomy in 142 patients. Plast
Reconstr Surg 2017;139(3):738-8. https://doi.org/10.1097/PRS.0000000000003147
11. Nam YS, Han SH, Paik DJ. Morphometrics of arterial supply for superficial circumflex iliac artery flap in Koreans. Korean Journal of Physical Anthropology 2006;19(1):111. https://doi.org/10.11637/kjpa.2006.19.1.1
12. Del Sol M, Vasquez B. Arteria circunfleja iliaca superficial. Importancia anátomo quirúrgica. Int J Morphol
2013;31(2):629-32. https://doi.org/10.4067/S0717-95022013000200046
13. Yoshimatsu H, Steinbacher J, Meng S, Hamscha UM, Weninger WJ, Tinhofer IE, et al. Superficial circumflex iliac
artery perforator flap: An anatomical study of the correlation of the superficial and the deep branches of the artery and evaluation of perfusion from the deep branch to the sartorius muscle and the iliac bone. Plast Reconstr Surg 2019;143(2):589-602. https://doi.org/10.1097/PRS.0000000000005282
14. Koshima I, Nanba Y, Nagai A, Nakatsuka M, Sato T, Kuroda S. Penile reconstruction with bilateral superficial
circumflex iliac artery perforator (SCIP) flaps. J Reconstr Microsurg 2006;22(3):137-42. https://doi.org/10.1055/s-2006-939957
15. Sinna R1, Hajji H, Qassemyar Q, Perignon D, Benhaim T, Havet E. Anatomical background of the perforator
flap based on the deep branch of the superficial circumflex iliac artery (SCIP Flap): a cadaveric study. Eplasty
2010;10:11. PMID: 20090859
16. Goh TL, Park SW, Cho JY, Choi JW, Hong JP. The search for the ideal thin skin flap: superficial circumflex iliac
artery perforator flap--a review of 210 cases. Plast Reconstr Surg 2015;135(2):592-601. https://doi.org/10.1097/PRS.0000000000000951