Superficial circumflex iliac artery perforator flap for reconstruction of limb defects
Koshima, I.; Nanba, Y.; Tsutsui, T.; Takahashi, Y.; Urushibara, K.; Inagawa, K.; Hamasaki, T.; Moriguchi, T.
Plastic and Reconstructive Surgery 113(1): 233-240
ISSN/ISBN: 0032-1052 PMID: 14707641 DOI: 10.1097/01.prs.0000095948.03605.20
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.