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Diabetic Foot Reconstruction Using SCIP Flap

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Clinical Scenarios in Reconstructive Microsurgery

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Abstract

Worldwide, approximately 15% of patients with diabetes mellitus will develop foot ulcers during their lifetime. Limb salvage procedures can increase the 5-year survival rate and also improve the quality of life. Multidisciplinary team approach is very important to manage the wound in every medical aspect. Hyperglycemia, nutritional status, infection, and underlying medical condition should be addressed and controlled.

Diabetic foot ulcer should be debrided under angiosome concepts. Computed tomography angiography plays the role for vascular status evaluation. Control of the infection and wound bed preparation should be achieved before soft tissue reconstruction.

Microsurgery in diabetic foot patients has 91.7% success rate which is comparable to nondiabetic foot reconstruction.

In this case, a patient who developed infected diabetic foot ulcer at the plantar surface area is presented. After multiple debridement sessions and also systemic medical control by a multidisciplinary team, soft tissue coverage was performed using superficial circumflex iliac artery perforator flap.

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Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

    Warangkana Tonaree

  2. Department of Plastic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of South Korea

    Warangkana Tonaree, Hyunsuk Peter Suh & Joon Pio Hong

Authors
  1. Warangkana Tonaree
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  2. Hyunsuk Peter Suh
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  3. Joon Pio Hong
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Corresponding author

Correspondence to Joon Pio Hong .

Section Editor information

  1. Plastic Surgery Clinic, Royal Free London Hospital, London, United Kingdom

    Shadi Ghali

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Tonaree, W., Suh, H.P., Hong, J.P. (2021). Diabetic Foot Reconstruction Using SCIP Flap. In: Clinical Scenarios in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-94191-2_106-1

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  • DOI: https://doi.org/10.1007/978-3-319-94191-2_106-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94191-2

  • Online ISBN: 978-3-319-94191-2

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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