Superiority of the deep circumflex iliac vessels as the supply for free groin flaps. Clinical work

Plast Reconstr Surg. 1979 Dec;64(6):745-59. doi: 10.1097/00006534-197912000-00001.

Abstract

In this paper we present 16 cases of free transfer of compound flaps from the groin, 11 using the deep circumflex iliac vessels as a stem and 5 using the superficial circumflex iliac vessels as a stem. We found the deep vessels superior in many ways to the superficial vessels for this purpose; they are larger, permitting greater ease in anastomoses and providing more reliable blood flow. We believe that larger osteocutaneous or myocutaneous flaps can be transferred on the deep vessels than on the superficial ones-and that the deep circumflex iliac flap may supplant the conventional free going flap in most situations. The method evolved in response to patient need, not for surgical éclat.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Bone Transplantation
  • Female
  • Humans
  • Iliac Artery* / diagnostic imaging
  • Iliac Vein
  • Ilium / surgery
  • Male
  • Mandible / diagnostic imaging
  • Mandible / surgery*
  • Pelvic Bones / diagnostic imaging
  • Pelvic Bones / surgery*
  • Radiography
  • Radionuclide Imaging
  • Surgery, Plastic / methods
  • Surgical Flaps*
  • Tibia / diagnostic imaging
  • Tibia / surgery*
  • Transplantation, Autologous