Skip to main content

Advertisement

SpringerLink
Log in

Vascularization of the superficial circumflex iliac perforator flap (SCIP flap): an anatomical study

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Introduction

The superficial circumflex iliac artery perforator flap (SCIP) has gained widespread popularity as local or free flap to cover soft tissue defects. However, there are numerous anatomical variations in terms of size, location and reliability of its perforators This cadaveric study aimed to focus on the anatomical bases of this flap.

Materials and methods

A bilateral dissection of seven cadavers was performed to harvest 14 flaps. Superficial circumflex iliac artery parameters, number, length and diameters of perforators were measured. Correspondent perforasomes were highlighted through semi-selective injections.

Results

The major perforator of the superficial branch had a mean caliber of 2.0 mm, and a mean length of 1.8 mm. The major perforator of the deep branch had a mean caliber of 2.1 mm and a mean length of 1.43 mm. The mean area of the superficial pattern perforasome was 178.6 cm2 and the mean measured surface of the deep pattern perforasome was 156.2 cm2. The descending branches of the deep branch anastomosing with the ascending branch of the lateral circumflex femoral artery were found in three cases.

Conclusion

Several anatomical variations were observed in this anatomical study, but major perforators supplying large perforasomes were always found.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16

Similar content being viewed by others

References

  1. Chao WN, Tsai CF, Wang PH et al (2015) Freestyle groin flaps. The real axial flap design and clinical application. Ann Reconstr Surg 74(2):S75–S79

    CAS  Google Scholar 

  2. Choi DH, Goh T, Cho JY, Hong JP (2014) Thin superficial circumflex iliac artery perforator flap and supermicrosurgery technique for face reconstruction. J Craniofac Surg 25:2130–2133

    Article  Google Scholar 

  3. Green R, Rahman KM, Owen S et al (2013) The superficial circumflex iliac artery perforator flap in intra-oral reconstruction. J Plast Reconstr Aesthet Surg 66:1683–1687

    Article  CAS  Google Scholar 

  4. He Y, Tian Z, Ma C, Zhang C (2015) Superficial circumflex iliac artery perforator flap: Identification of the perforator by computed tomography angiography and reconstruction of a complex lower lip defect. Int J Oral Maxillofac Surg 44(4):419–423

    Article  CAS  Google Scholar 

  5. Hsu WM, Chao WN, Yang C et al (2007) Evolution of the free groin flap: the superficial circumflex iliac artery perforator flap. Plast Reconstr Surg 119:1491–1498

    Article  CAS  Google Scholar 

  6. Hyun Suk PS, Hyung Hwa J, Dong Hoon C et al (2017) Study of the medial superficial perforator of the superficial circumflex iliac artery perforator flap using computed tomographic angiography and surgical anatomy in 142 patients. Plast Reconstr Surg 3:738–748

    Google Scholar 

  7. Iida T, Mihara M, Yoshimatsu H, Narushima M, Koshima I (2014) Versatility of the superficial circumflex iliac artery perforator flap in head and neck reconstruction. Ann Plast Surg 72:332–336

    Article  CAS  Google Scholar 

  8. Koshima I, Mardini C, Wei FC (2009) Flaps and reconstructive surgery. Saunders Elsevier, Edinburgh, pp 352–363 (Chapter 27)

    Google Scholar 

  9. Koshima I, Yamamoto T, Narushima M, Makoto M (2013) Perforator flaps, anatomy, techniques and clinical applications, 2nd edn. Quality Medical Publishing, St Louis, p 554 (Chapter 28)

    Google Scholar 

  10. Koshima I, Nanba Y, Tsutsui T et al (2004) Superficial circumflex iliac artery perforator flap for reconstruction of limb defects. Plast Reconstr Surg 113:233–240

    Article  Google Scholar 

  11. Penteado CV (1983) Anatomosurgical study of the superficial and deep circumflex iliac arteries. Anat Clin 5:125–127

    Article  Google Scholar 

  12. Sinna R, Hajji H, Qassemyar Q, Perignon D, Benhaim T, Havet E (2010) Anatomical background of the perforator flap based on the deep branch of the superficial circumflex iliac artery (SCIP Flap): a cadaveric study. Eplasty 10:e11

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic, Reconstructive and Hand Surgery, Rouen University Hospital, Rouen, France

    S. Gandolfi, F. Postel & I. Auquit-Auckbur

  2. Department of Plastic and Reconstructive Surgery, Montpellier University Hospital, Montpellier, France

    F. Boissière

  3. Department of Plastic and Reconstructive Surgery, Bordeaux University Hospital, Bordeaux, France

    P. Pelissier & V. Casoli

  4. Laboratory of Anatomy, Faculty of Medicine, Rouen University, 22 Boulevard Gambetta, 76183, Rouen, France

    F. Duparc

Authors
  1. S. Gandolfi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. Postel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. Auquit-Auckbur
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. Boissière
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Pelissier
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. V. Casoli
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. F. Duparc
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

SG: technical study, manuscript editing. FD: technical study, manuscript editing. IA-A: manuscript editing. FP: acquisition of data. FB, PP, VC: concept and design of the study.

Corresponding author

Correspondence to F. Duparc.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gandolfi, S., Postel, F., Auquit-Auckbur, I. et al. Vascularization of the superficial circumflex iliac perforator flap (SCIP flap): an anatomical study. Surg Radiol Anat 42, 473–481 (2020). https://doi.org/10.1007/s00276-019-02402-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-019-02402-9

Keywords

Search

Navigation