Plastic and Reconstructive Surgery

Skip Navigation LinksHome > January 2004 - Volume 113 - Issue 1 > Superficial Circumflex Iliac Artery Perforator Flap for Reco...
Plastic & Reconstructive Surgery:
doi: 10.1097/01.PRS.0000095948.03605.20
Original Articles

Superficial Circumflex Iliac Artery Perforator Flap for Reconstruction of Limb Defects

Koshima, Isao M.D.; Nanba, Yuzaburo M.D.; Tsutsui, Tetsuya M.D.; Takahashi, Yoshio M.D.; Urushibara, Katsuyuki M.D.; Inagawa, Kiichi M.D.; Hamasaki, Tamiko M.D.; Moriguchi, Takahiko M.D.

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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.

©2004American Society of Plastic Surgeons


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