Abstract
The superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been used
for scrotal reconstruction after Fournier's gangrene, skin cancer, or infections.
However, there are few publications with regard to penoscrotal reconstruction after
a traumatic injury with this flap. In this article, we propose a new SCIP flap variation,
the “extended” or “direct” SCIP flap, to effectively reconstruct a wide scrotal defect
after a traumatic injury. The “extended” SCIP flap is designed medial and cranial
to the anterosuperior iliac spine (ASIS) using the superficial branch of the SCIA
as the main pedicle.
Keywords
penoscrotal reconstruction - SCIP flap - pedicled flap
