Department of Hand- and Plastic Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Microsurgery. 2022 Nov;42(8):775-782. doi: 10.1002/micr.30933. Epub 2022 Jun 22.
Different issues may cause defects in the genital region, including urological, infective, oncological and genetic problems which often lead to significant defects. This is a very delicate region and a successful coverage requires a thin, pliable and reliable solution. In this setting the SCIP flap might be an outstanding procedure. Despite being a well-known solution in the groin region, its employment for genital reconstructions is still poorly described. For this reason, we gather our experience with this procedure showing the efficacy of the SCIP flap in this specific region.
In the present case series we included 6 male patients who received a soft tissue defect reconstruction by means of pedicled SCIP flap over the last year. The average age was 53.6 years old (range 34-79 years). Among them, 5 patients received a surgical excision because of severe acne (2 cases), Fournier's gangrene (2 cases), or scrotal squamous cell carcinoma (1 case). In 1 case the cause of the missing volume was testicle agenesis and the reconstruction was performed for cosmetic purposes. Size of the defects ranged from 7 cm × 4 cm to 20 cm × 6 cm. Elliptical shaped flaps were designed either mono- or bilaterally according to the need. All the flaps were supplied by the superficial branch of the SCIA. The range of rotation varied between 150° and 180° in order to reach the affected area.
The flaps' dimension ranged from 8 cm × 4 cm to 20 cm × 6 cm. All the patients were successfully treated. In 1 case we encountered a small wound dehiscence, which was managed conservatively. The mean follow-up was 9.5 months (range 6-12 months). Good cosmetic result was achieved in all cases and no urinary or sexual dysfunctions were reported.
The pedicle SCIP flap represents a reliable solution for genital and inguinal defects reconstructions. Its versatility can be exploited throughout the region providing very good quality tissues that can be used for the most disparate situations.
不同的问题可能导致生殖器区域出现缺陷，包括泌尿科、感染、肿瘤和遗传问题，这些问题往往会导致严重的缺陷。这是一个非常敏感的区域，成功的覆盖需要一个薄、柔韧和可靠的解决方案。在这种情况下，SCIP 皮瓣可能是一种出色的手术方法。尽管在腹股沟区域是一种众所周知的解决方案，但它在生殖器重建中的应用仍描述不足。因此，我们汇集了我们在该手术中的经验，展示了 SCIP 皮瓣在该特定区域的疗效。
在本病例系列中，我们包括了过去一年中因严重痤疮（2 例）、Fournier 坏疽（2 例）或阴囊鳞状细胞癌（1 例）接受带蒂 SCIP 皮瓣软组织缺损重建的 6 名男性患者。平均年龄为 53.6 岁（范围 34-79 岁）。其中，5 例患者因严重痤疮（2 例）、Fournier 坏疽（2 例）或阴囊鳞状细胞癌（1 例）接受了手术切除。1 例缺失体积的原因是睾丸发育不全，重建是为了美容目的。缺损大小从 7cm×4cm 到 20cm×6cm 不等。根据需要，设计了椭圆形的单或双侧皮瓣。所有皮瓣均由 SCIA 的浅支供应。旋转范围在 150°至 180°之间，以到达受影响的区域。
皮瓣的尺寸从 8cm×4cm 到 20cm×6cm 不等。所有患者均成功治疗。1 例患者出现小的伤口裂开，经保守治疗处理。平均随访时间为 9.5 个月（范围 6-12 个月）。所有病例均获得良好的美容效果，无尿或性功能障碍报告。
带蒂 SCIP 皮瓣是生殖器和腹股沟缺损重建的可靠解决方案。它的多功能性可以在整个区域得到利用，提供非常高质量的组织，可以用于最不同的情况。
