Queen Victoria Hospital, Plastic Surgery Department, East Grinstead, United Kingdom.
Kellogg College, University of Oxford, Oxford, United Kingdom of Great Britain and Northern Ireland.
J Reconstr Microsurg. 2020 Feb;36(2):93-103. doi: 10.1055/s-0039-1695051. Epub 2019 Sep 2.
The superficial circumflex iliac artery perforator (SCIP) flap is a versatile option of free tissue transfer for small to large defects. In this study, we examine the advantages of the SCIP flap, its cadaveric anatomy, and clinical subtypes.
Ten cadavers were dissected and the corresponding pedicles of the SCIP and groin flaps were identified. A retrospective review of 20 clinical cases of free SCIP flap reconstruction was undertaken. The indication for reconstruction, flap dimensions, and survival were analyzed. A systematic literature review was conducted including articles that have previously reported the use of the SCIP flap.
The SCIP pedicle was present in all our cadaveric dissections. The starting point of its pedicle ranged from 1.5 to 4.5 cm along the superficial circumflex iliac artery. The median diameter of the perforator and its concomitant vein was 1mm (range 0.8-2 mm). A cutaneous vein (1.3-2.3 mm) could be included in the flap if the concomitant vein was too small. Twenty consecutive patients had free SCIP flaps between 2002 and 2018. The indications were for finger defects ( = 8), thumb reconstruction ( = 1), lower limb compound fractures ( = 3), iatrogenic wounds ( = 2), upper limb large defects ( = 2), and scar contractures ( = 4). Flap dimensions ranged from 2 × 4 cm to 14 × 25cm, and the longest pedicle was 8cm. All flaps survived. The systematic literature review identified 34 previous reports using the SCIP flaps, most of these published by Asian units.
The SCIP flap is useful for reconstruction throughout the body due to its ease of dissection, thinness, adjustable pedicle length, and flap dimension ranging from tiny to large, as well as the feasibility of raising a compound flap incorporating an adipofascial or vascularized bone component if necessary.This is a level of evidence therapeutic IV study.
旋髂浅动脉穿支皮瓣（SCIP）是一种用于小至大面积缺损的游离组织转移的多功能选择。在本研究中，我们检查了 SCIP 皮瓣的优点、其尸体解剖和临床亚型。
对 10 具尸体进行解剖，确定了 SCIP 皮瓣和腹股沟皮瓣的相应蒂。回顾性分析了 20 例游离 SCIP 皮瓣重建的临床病例。分析了重建的适应证、皮瓣尺寸和成活率。进行了系统的文献回顾，包括以前报道过使用 SCIP 皮瓣的文章。
我们在所有尸体解剖中都发现了 SCIP 蒂。其蒂的起点沿着旋髂浅动脉的距离为 1.5 至 4.5cm。穿支及其伴行静脉的直径中位数为 1mm（范围为 0.8-2mm）。如果伴行静脉太小，可以包含皮静脉（1.3-2.3mm）。20 例连续患者在 2002 年至 2018 年期间接受了游离 SCIP 皮瓣。适应证为手指缺损（ = 8）、拇指重建（ = 1）、下肢复合骨折（ = 3）、医源性创伤（ = 2）、上肢大缺损（ = 2）和瘢痕挛缩（ = 4）。皮瓣尺寸范围从 2 × 4 cm 到 14 × 25cm，最长的蒂长 8cm。所有皮瓣均存活。系统的文献回顾确定了 34 篇以前使用 SCIP 皮瓣的报告，其中大多数是亚洲单位发表的。
由于其易于解剖、皮瓣薄、可调节蒂的长度以及皮瓣尺寸从微小到巨大的可调性，如果需要，还可以提高包含脂肪筋膜或带血管骨成分的复合皮瓣，SCIP 皮瓣可用于全身重建。这是一项治疗性 IV 级证据研究。
