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[旋髂浅动脉穿支皮瓣(SCIP皮瓣):腹股沟供区的复兴?]

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

作者信息

Sidhoum N, Dast S, Perez S, Assaf N, Herlin C, Sinna R

机构信息

Service de chirurgie plastique, reconstructive et esthétique, CHU Amiens-Picardie, Salouel, 80054 Amiens cedex, France.

Service de chirurgie plastique et craniofaciale, CHU de Montpellier, 34000 Montpellier, France.

出版信息

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

DOI:10.1016/j.anplas.2017.03.006
PMID:28456429
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 62.5cm [21; 180cm]. 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.

摘要

基于旋髂浅动脉穿支(SCIA)的SCIP皮瓣于2004年由小岛首次描述为一种大而薄的腹股沟皮瓣,发病率低。本研究的目的是证明SCIP皮瓣覆盖皮肤缺损的益处。我们进行了一项从2007年1月至2016年8月的回顾性研究。12例患者在亚眠医院整形外科接受了SCIP皮瓣重建。共进行了13次皮瓣手术。术前平均多普勒定位时间为8分钟。皮瓣平均大小为62.5平方厘米[21;180平方厘米]。掀起皮瓣所需的平均时间为61分钟[52;82分钟]。未观察到皮瓣或供区有任何并发症。SCIP皮瓣有一个薄的皮瓣片,供区发病率极低。手术技术安全、易于操作,术前彩色多普勒定位可提高手术精度。SCIP皮瓣的诸多优点使其成为缺损处理方案中的必备选择,并使腹股沟供区重新焕发生机。

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