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.
From the Departments of Plastic and Reconstructive Surgery, Graduate School of Medicine and Dentistry, Okayama University, and Kawasaki Medical School.
Received for publication March 10, 2000;
revised March 17, 2003.
Isao Koshima, M.D.
Plastic and Reconstructive Surgery
Graduate School of Medicine and Dentistry
Okayama 700-8551, Japan
Presented in part at the Third International Course on Perforator Flaps, in Munich, Germany, November 13, 1999; the Fourth International Course on Perforator Flaps, in Glasgow, United Kingdom, September 8, 2000; and the Sixth International Course on Perforator Flaps, in Taipei, Taiwan, October 25, 2002.