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

Aydın, Mustafa Asım; Nasır, Serdar

doi:10.1002/micr.20416

Cited by 15 publications

(16 citation statements)

References 19 publications

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“…In our previous study, we demonstrated that these vessels are supplied by the same skin island and large flaps may be elevated safely as based on SCIA and/or SIEA pedicles. 1 This flap was our first preference in soft tissue reconstruction of the lower extremity (64%; 27 free SCIA/SIEA flap/42 total flaps: free SCIA/ SIEA, latissimus dorsi, rectus abdominis, superficial temporal). No area of the body has benefited more from free flap transfer than the lower extremity.…”

Section: Discussionmentioning

confidence: 99%

“…1 We selected SIEA, which was preferred, when the intended result was a thick flap while SCIA was used for reconstruction with a thin flap. The selected arterial pedicle was SCIA (n ϭ 9), SIEA (n ϭ 15), or their common trunk (n ϭ 3).…”

Section: Methodsmentioning

confidence: 99%

“…8 Large free SCIA/SIEA flap may be prepared in lower extremity soft tissue reconstruction because redundant skin of the abdominal wall allows for harvesting large flaps. 1 We safely used large free SCIA/SIEA flap in reconstruction of injury to the lower extremity zone. Although we had high emergency flap revision (n ϭ 5) in the beginning, this rate decreased parallel with the learning curve (n ϭ 1).…”

Section: Nasır and Aydınmentioning

confidence: 99%

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Reconstruction of Soft Tissue Defect of Lower Extremity With Free SCIA/SIEA Flap

Nasır

Aydın²

2008

Annals of Plastic Surgery

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Free tissue transfer is the most important means of soft tissue reconstruction for the lower extremity. However, cosmetic results and donor site morbidity are only of secondary concern of lower extremity reconstruction. In our efforts to obtain the best possible outcome for patients, as our first priority we chose free superficial circumflex inferior artery (SCIA)/superficial inferior epigastric artery (SIEA) flap over other free flap options in the soft tissue reconstruction of lower extremity because of some advantages. Over the past 3 year, 25 patients underwent lower extremity reconstruction with free SCIA/SIEA flap (n = 27). Twenty-six of 27 flaps were successful (96%), 6 required emergent postoperative re-exploration of the anastomosis, and 1 failed. Although secondary debulking procedure was performed for some flaps (n = 3), most flaps had acceptable thickness for functional and esthetic outcomes especially in the pretibial, ankle, and foot defect reconstruction with an average of 1-year follow-up. Based on our results, free SCIA/SIEA flap has the following advantages in soft tissue reconstruction of lower extremity: (1) large flaps may be harvested for extensive defect and/or to reach recipient artery for passing zone of injury; (2) if necessary, final flap debulking may be performed by surgical procedure using local anesthesia; (3) the donor site is closed in a similar manner to abdominoplasty incision so that excellent cosmetic result may be achieved.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Nasır and Aydınmentioning

confidence: 99%

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Reconstruction of Soft Tissue Defect of Lower Extremity With Free SCIA/SIEA Flap

Nasır

Aydın²

2008

Annals of Plastic Surgery

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“…Aydin and Nasir were able to close the donor sites of groin flaps primarily without any postoperative problems even in the largest flap size they harvested. (21) The groin flap is commonly employed in free tissue transfers for defects of the extremities. (22) The popularity of this flap, however, has gradually decreased in recent years (23) because of disadvantages related to its short pedicle, frequent structural variations and technically demanding harvesting.…”

Section: Groin Flapmentioning

confidence: 99%

Optimizing aesthetic and functional outcomes at donor sites

Jeng¹,

Tan²

2012

Biomed J

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In recent years, there has been increasing interest by reconstructive surgeons in improving the aesthetic and functional outcomes of donor sites. As the success rate of free tissue transfers has exceeded more than 95% in most microsurgical centers, more emphasis can be shifted to the donor site. However, morbidities of donor sites can occur not only in free tissue transfers, but in locoregional flaps as well. In reconstructive procedures, the main principle is to mobilize normal tissue and utilize it to reconstruct an area of defect. The donor site, of course has no pathology, but is a previously healthy area. Therefore, it is of paramount importance to not only minimize postoperative complications at recipient sites, but also pay attention to donor sites. Just as in organ transplantation where efforts are made to ensure the safety and a good outcome for a donor patient, outcomes should be improved and morbidity reduced at donor sites in reconstructive surgery. (Chang Gung Med J 2012;35:219-30)

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“…We reported that the skin of the lower abdominal and groin regions may be elevated based on the SCIA and/or SIEA. 3 To facilitate flap thinning, we used a simple method for the free SCIA/SIEA flap. In this study, we present details of our thinning methods for free SCIA/SIEA flaps.…”

mentioning

confidence: 99%

Wide Combined Thin Free SCIA/SIEA Flap

Nasır

Aydın²

2008

Annals of Plastic Surgery

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A thin skin flap is often required for optimal resurfacing of particular areas of the body such as oral lining, hands, and feet. Using wide and thin flaps provides a higher level of esthetic and functional results in reconstructive surgery. Recently, the authors also applied the thinning procedure for free SCIA/SIEA flaps. From 2003 to 2006, 11 patients underwent soft tissue reconstruction using thin free SCIA/SIEA flaps. In this procedure, deep subcutaneous fat tissue was removed totally while superficial subcutaneous tissue was thinned and a fat tissue layer was left under the skin to protect the subdermal network. All procedures were performed without using an operating microscope. The flap ranged 10 to 60 cm in length and from 6 to 55 cm in width. Ten flaps survived completely, while 1 occurrence of distal superficial necrosis was observed. No secondary flap defatting or revision was necessary. The free SCIA/SIEA flap may be prepared safely using a simple surgical procedure such as wide and thin flap in reconstructive surgery.

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

Cited by 15 publications

References 19 publications

Reconstruction of Soft Tissue Defect of Lower Extremity With Free SCIA/SIEA Flap

Reconstruction of Soft Tissue Defect of Lower Extremity With Free SCIA/SIEA Flap

Optimizing aesthetic and functional outcomes at donor sites

Wide Combined Thin Free SCIA/SIEA Flap

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