Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan.
Medicina (Kaunas). 2022 May 18;58(5):670. doi: 10.3390/medicina58050670.
: Prolonged drain stay and lymphorrhea are often problems at the donor site of the superficial circumflex iliac artery perforator (SCIP) flap. This study aimed to introduce a novel technique of the SCIP flap elevation: Deep Fat Saving (DFS) technique. : Thirty-two patients who underwent the SCIP flap transfer were divided based on the flap-elevated layer: above the deep fascia or the Camper fascia saving the deep fat. The duration of drain stay and the rates of flap survival and donor-site complications were compared between the groups. The inverse probability weighting (IPW) method was conducted to balance confounders. : By IPW, two balanced pseudo-populations were created: DFS = 33.9 and Conventional = 31.3. There were no significant differences in the rate of flap survival (DFS: 100% verses Conventional: 95.8%, = 0.32) and donor site complications (DFS: 2.4% versus Conventional: 1.3%, = 0.68, respectively). The duration of drain stay was shorter in the DFS group (weighted median: 6 versus 8 days; weighted difference: -1.6 days (95% confidence interval: -2.8 to -0.4), = 0.01). : An SCIP flap can be reliably harvested using the Deep Fat Saving technique.
: 旋髂浅动脉穿支皮瓣（SCIP）供区常存在引流时间长和淋巴漏等问题。本研究旨在介绍一种 SCIP 皮瓣提升的新技术：深脂肪保留（DFS）技术。 : 32 例行 SCIP 皮瓣转移的患者根据皮瓣提升的层次进行分组：在深筋膜或卡培筋膜上方保留深脂肪。比较两组的引流时间、皮瓣成活率和供区并发症发生率。采用逆概率加权（IPW）法平衡混杂因素。 : 通过 IPW，创建了两个均衡的拟似总体：DFS = 33.9 和常规 = 31.3。皮瓣成活率（DFS：100%与常规：95.8%， = 0.32）和供区并发症（DFS：2.4%与常规：1.3%， = 0.68）无显著差异。DFS 组引流时间较短（加权中位数：6 天与 8 天；加权差异：-1.6 天（95%置信区间：-2.8 至-0.4）， = 0.01）。 : 采用深脂肪保留技术可可靠地采集旋髂浅动脉穿支皮瓣。
