Superficial circumflex iliac artery perforator flap for reconstruction of limb defects

Plast Reconstr Surg. 2004 Jan;113(1):233-40. doi: 10.1097/01.PRS.0000095948.03605.20.

Abstract

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Extremities / injuries
  • Extremities / surgery*
  • Female
  • Humans
  • Iliac Artery / anatomy & histology
  • Liposarcoma / surgery
  • Male
  • Middle Aged
  • Plastic Surgery Procedures / methods*
  • Surgical Flaps / blood supply*
  • Thigh / surgery