[Superficial Circumflex Iliac Artery Perforator flap (SCIP flap): Revival of the inguinal donor site?]

Ann Chir Plast Esthet. 2017 Dec;62(6):646-651. doi: 10.1016/j.anplas.2017.03.006. Epub 2017 Apr 26.
[Article in French]

Abstract

The SCIP flap based on a superficial circumflex iliac perforator artery (SCIA) was described for the first time by Koshima in 2004 as a large and thin groin flap, with a low morbidity. The purpose of this study is to demonstrate the benefits of SCIP flap to cover cutaneous defects. We present a retrospective study from January 2007 to August 2016. Twelve patients had a SCIP flap reconstruction in the plastic surgery department of Amiens hospital. Thirteen flaps were performed. The average preoperative doppler mapping time was 8minutes. The average size of flaps was 62.5cm2 [21; 180cm2]. The average time required for raising flaps was 61min [52; 82min]. It has not been observed any complication of the flap or donor site. The SCIP flap has a thin paddle and the donor site morbidity is minimal. The surgical technique is safe, accessible and precision is increased by preoperative color doppler mapping. The many strengths of the SCIP flap make it a must in the algorithm for defects management and come to revitalize the inguinal donor site.

Keywords: Artère circonflexe iliaque superficielle; Groin; Inguinal; Lambeau perforant; Perforator flap; SCIP; SCIP flap; Superficial circumflex iliac artery.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Feasibility Studies
  • Female
  • Femoral Artery / diagnostic imaging
  • Humans
  • Iliac Artery / diagnostic imaging
  • Iliac Artery / surgery*
  • Inguinal Canal / diagnostic imaging
  • Inguinal Canal / surgery*
  • Male
  • Middle Aged
  • Perforator Flap / transplantation*
  • Plastic Surgery Procedures / methods*
  • Retrospective Studies
  • Skin Ulcer / surgery*
  • Surgery, Plastic
  • Tissue and Organ Harvesting / methods
  • Transplant Donor Site / diagnostic imaging
  • Transplant Donor Site / surgery*
  • Treatment Outcome
  • Ultrasonography, Doppler, Color / methods
  • Wound Healing