Supermicrosurgical free sensate superficial circumflex iliac artery perforator flap for reconstruction of a soft tissue defect of the ankle in a 1‐year‐old child

Iida, Takuya; Yamamoto, Takumi; Yoshimatsu, Hironobu; Abe, Naho; Tsuchiya, Mai; Nemoto, Naho; Watanabe, Shôji

doi:10.1002/micr.22525

Cited by 15 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 • Type 6: Neurotized SCIP flap. 21,22 In our series, the majority of our cases involved type 1 flaps (80%), even though we also performed type 4 (10%), type 2 (5%), and type 3 (5%) flaps.…”

Section: Clinical Reviewmentioning

confidence: 65%

The Versatility of the Superficial Circumflex Iliac Artery Perforator Flap: A Single Surgeon's 16-Year Experience for Limb Reconstruction and a Systematic Review

Berner

Nikkhah

Zhao

et al. 2019

J reconstr Microsurg

View full text Add to dashboard Cite

Background The superficial circumflex iliac artery perforator (SCIP) flap is a versatile option of free tissue transfer for small to large defects. In this study, we examine the advantages of the SCIP flap, its cadaveric anatomy, and clinical subtypes. Methods Ten cadavers were dissected and the corresponding pedicles of the SCIP and groin flaps were identified. A retrospective review of 20 clinical cases of free SCIP flap reconstruction was undertaken. The indication for reconstruction, flap dimensions, and survival were analyzed. A systematic literature review was conducted including articles that have previously reported the use of the SCIP flap. Results The SCIP pedicle was present in all our cadaveric dissections. The starting point of its pedicle ranged from 1.5 to 4.5 cm along the superficial circumflex iliac artery. The median diameter of the perforator and its concomitant vein was 1mm (range 0.8–2 mm). A cutaneous vein (1.3–2.3 mm) could be included in the flap if the concomitant vein was too small. Twenty consecutive patients had free SCIP flaps between 2002 and 2018. The indications were for finger defects (n = 8), thumb reconstruction (n = 1), lower limb compound fractures (n = 3), iatrogenic wounds (n = 2), upper limb large defects (n = 2), and scar contractures (n = 4). Flap dimensions ranged from 2 × 4 cm to 14 × 25cm, and the longest pedicle was 8cm. All flaps survived. The systematic literature review identified 34 previous reports using the SCIP flaps, most of these published by Asian units. Conclusion The SCIP flap is useful for reconstruction throughout the body due to its ease of dissection, thinness, adjustable pedicle length, and flap dimension ranging from tiny to large, as well as the feasibility of raising a compound flap incorporating an adipofascial or vascularized bone component if necessary.This is a level of evidence therapeutic IV study.

show abstract

Section: Clinical Reviewmentioning

confidence: 65%

The Versatility of the Superficial Circumflex Iliac Artery Perforator Flap: A Single Surgeon's 16-Year Experience for Limb Reconstruction and a Systematic Review

Berner

Nikkhah

Zhao

et al. 2019

J reconstr Microsurg

View full text Add to dashboard Cite

show abstract

“…From 2520 citations, 383 articles remained after the first screening process. Following the second screening process, 47 studies were included in the systematic review (Figure 1) (Visconti et al, 2020; Choi et al, 2014; Daǧdelen & Aksoy, 2020; El Fahar, 2018; He et al, 2016; Hong, 2009; Hong et al, 2013, 2014, 2021; Hong & Koshima, 2010; Hwang et al, 2013a, 2013b; Iida et al, 2014, 2015, 2016; Iida et al, 2019; Jeong et al, 2018; Jin et al, 2015; Kim et al, 2010, 2013; Kim, Hong, et al, 2015; Kim, Kim, et al, 2015; Koshima et al, 1998, 2000; Koshima, Nanba, et al, 2003; Koshima, Tsutsui, et al, 2003; Narushima et al, 2011, 2013; Scaglioni, Meroni, & Fritsche, 2021a, 2021b; Scaglioni, Rodi, et al, 2021; Seo et al, 2015, 2018; Song et al, 2017; Suh et al, 2016; Sumiya et al, 2021; Tashiro et al, 2014; Tashiro et al, 2016, 2017; Vijayan et al, 2017; Wang et al, 2019; Wei et al, 2020; Yamamoto et al, 2016; Yoon et al, 2014; Yoshimatsu et al, 2017, 2019). Agreement between reviewers was substantial during the screening process (Cohen's k: 0.74, 97.4%).…”

Section: Resultsmentioning

confidence: 99%

Free flap transfer with supermicrosurgical technique for soft tissue reconstruction: A systematic review and meta‐analysis

Escandón

Ciudad²,

Mayer

et al. 2022

Microsurgery

View full text Add to dashboard Cite

Background Supermicrosurgery is a technique that allows microsurgeons to accomplish dissections and anastomoses of vessels and nerve fascicles with diameters of ≤0.8 mm. Considering the potential benefits of this technique and limited literature synthesizing the outcomes of supermicrosurgery, the aim of this study was to summarize the available evidence of reconstructive supermicrosurgery and to estimate the success rate. Methods We conducted a comprehensive search across PubMed, Scopus, Embase, and Web of Science. We included patient‐based studies reporting on procedures for soft‐tissue reconstruction with free flaps specifying the use of supermicrosurgery. We excluded studies reporting on lymphatic surgery, solely peripheral nerve surgery, and tissue replantation. Our primary endpoint was to calculate the flap success rate. Pooled estimates were calculated using a random‐effects meta‐analytic model. Results Forty‐seven studies reporting outcomes of 698 flaps were included for qualitative synthesis. Overall, 15.75% of flaps were used for head and neck, 4.4% for breast and trunk, 9.3% for upper limb, and 69.2% for lower limb reconstruction. The most used flap was the superficial circumflex iliac artery perforator flap (41.5%). The overall flap success rate was 96.6% (95%CI 95.2%–98.1%). The cumulative rate of partial flap loss was 3.84% (95%CI 1.8%–5.9%). The overall vascular complication rate resulting in complete or partial flap loss was 5.93% (95%CI 3.5%–8.3%). Conclusions Supermicrosurgery displays a high success rate. Further studies are necessary to explore the true potential of supermicrosurgery. This technique reformulates the boundaries of reconstructive surgery due to its extensive application.

show abstract

“…The SCIP flap vascularized based on the superficial branch (SB-SCIP flap) has the following advantages: decreased donor morbidity, 9–11 reliable vascularity, 4,12 short time for flap elevation, 1,8,13 and multiple tissue/component inclusion. 13–17…”

Section: Discussionmentioning

confidence: 99%

A Simple Skin Incision Design for Pediatric Superficial Branch of Superficial Circumflex Iliac Artery

Kato

Watanabe

et al. 2019

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

show abstract

Supermicrosurgical free sensate superficial circumflex iliac artery perforator flap for reconstruction of a soft tissue defect of the ankle in a 1‐year‐old child

Cited by 15 publications

References 18 publications

The Versatility of the Superficial Circumflex Iliac Artery Perforator Flap: A Single Surgeon's 16-Year Experience for Limb Reconstruction and a Systematic Review

The Versatility of the Superficial Circumflex Iliac Artery Perforator Flap: A Single Surgeon's 16-Year Experience for Limb Reconstruction and a Systematic Review

Free flap transfer with supermicrosurgical technique for soft tissue reconstruction: A systematic review and meta‐analysis

A Simple Skin Incision Design for Pediatric Superficial Branch of Superficial Circumflex Iliac Artery

Contact Info

Product

Resources

About