Free groin skin flaps

Harii, Kiyonori; Ohmori, Kitaro; Torii, Shuhei; Murakami, F; Kasai, Yoshihiko; Sekiguchi, Junsuke; Ohmori, Seiichi

doi:10.1016/0007-1226(75)90022-3

Cited by 71 publications

(15 citation statements)

References 8 publications

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“…By selecting the pedicle after complete delineation of the vascular anatomy and comparison of the vessels, vascular selection rates are seen to be similar to those of Harii et al 6,7 Although major size discrepancy in arterial anastomoses is seldom (Table 2), the arterial pedicle is generally small compared with those of currently popular free flaps. These small vessels are also more prone to stretching that may cause thrombosis.…”

Section: Discussionsupporting

confidence: 55%

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Free SCIA/SIEA skin flap: A dual blood supply approach to groin region

Aydın

Nasır

2007

Microsurgery

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Free groin flap donor skin is unequaled in generous skin supply and inconspicuousness. We reliably utilize this region by taking advantage of the dual blood supply from superficial circumlex iliac (SCIA) and superficial inferior epigastric (SIEA) arteries and name the flap "Free SCIA/SIEA skin flap." The arterial pedicle is selected between SCIA and SIEA according to vascular anatomy which is explored through an incision along the inguinal ligament prior to skin island planning. Among 57 free SCIA/SIEA skin flap transfers, two flap failures occurred; circulatory impairment was restored by taking the patient back to the operating room in four cases; major size discrepancy was noted in one end-to-end arterial anastomosis; and no vein grafts were required. Mostly an extended length of skin island is harvested irrespective of wound size in order to utilize the proximal skin as a vascular carrier that compensates for short pedicle. We conclude that, with the current microsurgical expertise, free SCIA/SIEA skin flap is versatile even when the skin quality is considered.

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Section: Discussionsupporting

confidence: 55%

“…13 Harii et al outlined the skin island along SCIA, and extended the medial border over the femoral artery to include SIEA also. 6 As we do, 5 they selected the anatomically more favorable one as the arterial pedicle if SCIA and SIEA arose separately. If they were seen to arise from a common trunk, both were included in the pedicle.…”

Section: Discussionmentioning

confidence: 99%

Free SCIA/SIEA skin flap: A dual blood supply approach to groin region

Aydın

Nasır

2007

Microsurgery

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“…Harii et al [5] confirm these observations since they encountered the CSIA in all dissections they performed. It must be kept in mind however that Katai et al [6] failed isolating it, in 4% of their arteriographic studies.…”

Section: Anatomysupporting

confidence: 55%

McGregor flap

et al. 2007

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Since it has been described in the early seventies [1], this flap has become an essential tool in reconstructive surgery, primarily due to the wide cutaneous surface it may replace. Its pediculate form is useful and it may be employed with significant benefit as free flap; it may even provide composite tissues. Also known as McGregor's flap, groin flap, or iliofemoral flap, this axial pattern flap is based on the superficial iliac circumflex artery.

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“…The groin flap was first reported as a pedicled flap with an axial-pattern type of circulation based on SCIA, and it was successively employed as a free flap in the early 1970s. [4][5][6][7][8][9] Due to acceptable donor-site morbidity and the large size of the skin flap, the groin flap is still one of the most reliable flaps for some types of reconstruction. Some alternative techniques to increase its usefulness have been reported to date.…”

Section: Discussionmentioning

confidence: 99%

Inferolateral Extension of the Groin Flap Based on the Artery Accompanying the Lateral Femoral Cutaneous Nerve

Kashiwa

Kobayashi

Ogino

et al. 2008

J reconstr Microsurg

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The authors reconstructed hand defects using a new type of the extended groin flap in two patients. The extended portion includes the lateral femoral cutaneous nerve (LFCN) and the artery accompanying the LFCN (LFCA). Circulation to the extended portion was maintained by the communicating branches between the LFCA and the superficial circumflex iliac artery (SCIA). The flap was used as a pedicle flap in one patient and as a free flap in the other patient. The extended portion was elevated as an island flap based on LFCA in the latter. These flaps, including the extended portion, were transferred successfully. We have already reported use of the inferior extension of the groin flap based on the descending branch of the SCIA, in 2002. However, the extension technique described here is a different type of extension, due to the use of a different nutrient vessel. We believe that this new technique increases the usefulness of the groin flap.

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Free groin skin flaps

Cited by 71 publications

References 8 publications

Free SCIA/SIEA skin flap: A dual blood supply approach to groin region

Free SCIA/SIEA skin flap: A dual blood supply approach to groin region

McGregor flap

Inferolateral Extension of the Groin Flap Based on the Artery Accompanying the Lateral Femoral Cutaneous Nerve

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