J 2022

Superficial circumflex iliac artery perforator flap on extremity defects - case series

BAJUS, Adam and Libor STREIT

Basic information

Original name

Superficial circumflex iliac artery perforator flap on extremity defects - case series

Name in Czech

Perforátorový lalok superficiální cirkumflexní ilické artérie u defektů končetin - kazuistiky

Authors

BAJUS, Adam (203 Czech Republic, guarantor, belonging to the institution) and Libor STREIT (203 Czech Republic, belonging to the institution)

Edition

Acta chirurgiae plasticae, Praha, Česká lékařská společnost J. E. Purkyně, z.s. 2022, 0001-5423

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

RIV identification code

RIV/00216224:14110/22:00128686

Organization unit

Faculty of Medicine

DOI

Keywords in English

extremities defects; free flap reconstruction; hand; lower extremity; SCIP; superficial circumflex iliac artery perforator

Tags

Tags

International impact, Reviewed
Změněno: 20/2/2023 14:44, Mgr. Tereza Miškechová

Abstract

V originále

Background: Reconstruction of upper and lower extremity defects can be challenging. Especially in distal parts, relatively thin flaps are needed not to interfere with the function or aesthetic appearance of the extremity. The superficial circumflex iliac artery perforator (SCIP) flap represents a powerful but still not so commonly used tool for this kind of reconstruction. In this article, we present several cases of the use of the SCIP flap for extremity defect coverage. Case series: We present five cases (three men and two women) of upper or lower extremities defect coverage with a SCIP flap performed between January and June 2021 at our department. The mean age of the patients was 43 years (28–67 years). The body mass index was 28.6 on average. Two defects were located on hands and three defects on lower extremities. In three cases, the cause of the defect was trauma, and in the remaining two, it was a tumor resection. The mean thickness of the flap was 9.4 mm. We experienced no total flap loss and no revision surgery for ischemia or congestion was needed. One of the patients developed marginal flap necrosis, which was corrected by necrectomy and direct skin closure. Conclusion: Our case series demonstrates the possible use of the SCIP flap in the reconstruction of upper and lower extremities. With its thinness, low donor-site morbidity, and ease of harvest, we recommend the SCIP flap to be considered as one of the primary reconstructive options for various extremities defects.

Links

MUNI/A/1457/2021, interní kód MU
Name: Evaluace inovativních postupů plastické a rekonstrukční chirurgie II
Investor: Masaryk University