J reconstr Microsurg
DOI: 10.1055/s-0039-1698444
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A New Planning Method to Easily Harvest the Superficial Circumflex Iliac Artery Perforator Flap

Nicolás Pereira
1  Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile
2  Department of Plastic Surgery, Clínica Las Condes, Santiago, Chile
,
Leonardo Parada
1  Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile
,
Matías Kufeke
1  Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile
2  Department of Plastic Surgery, Clínica Las Condes, Santiago, Chile
,
Ekaterina Troncoso
1  Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile
,
Ricardo Roa
1  Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile
› Author Affiliations
Funding None.
Further Information

Publication History

21 May 2019

27 August 2019

Publication Date:
21 October 2019 (online)

Abstract

Background The superficial circumflex iliac artery perforator flap (SCIP) is a thin, pliable, and versatile flap used mainly for extremities and head and neck reconstruction. Different planning methods have been described, but these are not yet standardized like in other flaps. The aim of this study is to present a fast, effective, and reliable method for SCIP flap planning using computed tomography angiography (CTA).

Methods Between October 2017 and September 2018, CTA was performed on 40 patients. Preoperative planning of SCIP flaps based on the medial branch was performed analyzing CTA images. The perforating sites of the medial branch on the deep (point D) and superficial fascia (point S) were identified. Distances to those points, from the center of the umbilicus in the “y-axis” and the midline perpendicularly in the “x-axis,” were measured. These measurements were transferred to the patient's skin as a guide for dissection.

Results Eighty areas were studied identifying points D and S in CTA. Forty-three SCIP flaps were performed using this planning method. In 100% of the flaps, points D and S matched perfectly with handheld Doppler and surgical findings.

Conclusion Points D and S method for medial branch based SCIP planning with CTA is an easy to learn, efficient, fast, and reliable technique for preoperative planning, allowing a safe and predictable elevation of the flap.