Schiltz Daniel, Lenhard Jasmin, Klein Silvan, Anker Alexandra, Lonic Daniel, Heidekrueger Paul I, Prantl Lukas, Jung Ernst-Michael, Platz Batista Da Silva Natascha, Kehrer Andreas
Department of Plastic and Aesthetic Surgery, Hand Surgery, Helios Hospital Emil von Behring, 14165 Berlin, Germany.
Department of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
J Clin Med. 2021 May 30;10(11):2427. doi: 10.3390/jcm10112427.
The superficial circumflex iliac artery perforator (SCIP) flap is a well-documented, thin, free tissue flap with a minimal donor site morbidity, and has the potential to become the new method for resurfacing moderate-size skin defects. The aim of this study is to describe an easy, reliable, systematic, and standardized approach for preoperative SCIP flap design and perforator characterization, using color-coded duplex sonography (CCDS). A list of customized settings and a straightforward algorithm are presented, which are easily applied by an operator with minimal experience. Specific settings for SCIP flap perforator evaluation were investigated and tested on 12 patients. Deep and superficial superficial circumflex iliac artery (SCIA) branches, along with their corresponding perforators and cutaneous veins, were marked individually with a permanent marker and the anatomy was verified intraoperatively. From this, a simplified procedure for preoperative flap design of the SCIP flap was developed. Branches could be localized and evaluated in all patients. A preoperative structured procedure for ultrasonically guided flap design of the SCIP flap is described. A 100% correlation between the number and emergence points of the branches detected by preoperative CCDS mapping and the intraoperative anatomy was found.
旋髂浅动脉穿支（SCIP）皮瓣是一种有充分文献记载的、薄的游离组织皮瓣，供区并发症极少，有潜力成为修复中等大小皮肤缺损的新方法。本研究的目的是描述一种使用彩色编码双功超声（CCDS）进行术前SCIP皮瓣设计和穿支特征分析的简便、可靠、系统且标准化的方法。文中列出了一系列定制设置和一个简单明了的算法，经验有限的操作人员也能轻松应用。对12例患者进行了SCIP皮瓣穿支评估的特定设置研究与测试。旋髂浅动脉（SCIA）的深支和浅支及其相应的穿支和皮静脉，均用永久性标记笔分别标记，并在术中对解剖结构进行了验证。据此，制定了SCIP皮瓣术前皮瓣设计的简化程序。所有患者的分支均可定位和评估。本文描述了一种用于SCIP皮瓣超声引导下皮瓣设计的术前结构化程序。术前CCDS mapping检测到的分支数量和出现点与术中解剖结构之间存在100%的相关性。
