The Piggyback Superficial Circumflex Iliac Perforator Flap for Complex Free Flap Reconstructions.

ABSTRACT: This article introduces a reproducible strategy for complex reconstruction scenarios that require the use of two flaps. It specifically focuses on the utilization of the superficial circumflex iliac artery perforator (SCIP) flap as a secondary flap, particularly in complex cases where available arterial options are limited. In the first scenario, the SCIP flap is elevated simultaneously during elevation of a fibula bone flap. The pedicle of the fibula flap will be anastomosed to the recipient vessels, and the pedicle artery of the SCIP flap, the superficial circumflex iliac artery, will be anastomosed to the distal end of the peroneal artery. The SCIP flap pedicle offers greater length compared with a cutaneous flap sourced from the peroneal artery, thus providing increased flexibility for

SUBMITTER: Yoshimatsu H 

PROVIDER: S-EPMC11191033 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature