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Minimally Invasive Harvesting of Adipofascial Scapular Flaps

Al-Benna, Sammy BMedSci(Hons), MBChB, PhD, PGCNano, FAPÁC*; Kirkpatrick, James JR FRCS; Taggart, Ian FRCS

doi: 10.1097/SAP.0b013e31826c4269

Introduction Scapular flaps are a reliable system for reconstruction. Disadvantages of reconstruction with these flaps include unsightly scars at the donor site due to wound healing under excessive tension and the use of skin grafts. Minimally invasive harvesting techniques may reduce potential donor-site morbidity. There has been no report on endoscopically assisted harvesting of the scapular adipofascial flap.

Methods Two patients with large defects are reviewed. Endoscopically assisted minimally invasive techniques for harvest of scapular adipofascial flaps were used in reconstruction of these soft-tissue defects.

Results Both defects were successfully reconstructed in the primary setting without any donor-site wound complications.

Conclusions This is the first time that a scapular flap has been harvested successfully with a minimally invasive technique for reconstruction. This technique allows the use of a scapular flap as a pedicled flap or as a free flap. Minimally invasive harvest of the adipofascial scapular flap has the advantages of short incision and better cosmesis of the donor site, for scarring is minimized and the incision can be closed primarily without skin grafting therefore reducing donor-site morbidity compared with the traditional open technique.

From the *Department of Plastic Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, North Rhine-Westphalia, Germany; and †Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, Scotland, United Kingdom

Received November 7, 2011, and accepted for publication, after revision, July 29, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Sammy Al-Benna, BMedSci(Hons), MBChB, PhD, PGCNano, FAPÁC, Department of Plastic Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Buerkle-de-la-Camp-Platz 1, 44789 Bochum, Germany. E-mail:

© 2014 by Lippincott Williams & Wilkins