Chimeric Superficial Circumflex Iliac Perforator Flap Including External Oblique Fascia: A Refinement of Conventional Harvesting

M.F. Garrido, Shan Shan Qiu Shao, C.G. Garcia, G.P. Playa, J.M. Ayala

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The superficial circumflex iliac perforator (SCIP) flap is one of the most suitable flaps to cover distal extremity defects due to its lack of bulkiness and donor site concealment. However, it is less popular than other perforator flaps due to its anatomical variations, short pedicle length, and small caliber vessels. We describe a novel design for the SCIP flap, consisting of a chimeric flap with a piece of the external oblique muscle fascia. The purpose of this design is to cover and protect the vascular anastomosis in distal lower limb defects where recipient vessels are superficial and skin coverage is poor. In addition, lengthening the pedicle with this design makes the flap more versatile. The addition of a cuff of fascia in harvesting of the SCIP flap lengthens the pedicle, allowing easier insetting of the skin paddle and providing complete protection and coverage of the vessels. This procedure allows greater versatility in inset of the skin paddle and is particularly suitable in cases where recipient vessels are superficial or when skin coverage is poor.

Original languageEnglish
Article numbere766
Number of pages4
JournalPlastic and Reconstructive Surgery - Global Open
Volume4
Issue number6
DOIs
Publication statusPublished - Jun 2016

Keywords

  • LATERAL CUTANEOUS BRANCHES
  • FREE GROIN FLAP
  • MICROVASCULAR ANASTOMOSES
  • NECK RECONSTRUCTION
  • INTERCOSTAL NERVES
  • ISLAND FLAP
  • VERSATILITY
  • DEFECTS
  • HEAD

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