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Arch Hand Microsurg > Volume 22(1); 2013 > Article
Journal of the Korean Society for Surgery of the Hand 2013;22(1):18-23.
Published online May 31, 2013.
DOI: https://doi.org/10.12790/jkssh.2013.22.1.18   
Superficial Circumflex Iliac Artery Perforator Free Flap for Reconstruction of Small or Medium Sized Defect on Lower Extremities
Kyu Nam Kim, Woo Shik Jeong*, Joon Pio Hong*, Chi Seon Yoon
1Department of Plastic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. ycscmh@daum.net
2Department of Plastic Surgery, Asan Medical Center, Seoul, Korea.
하지의 작거나 중등도의 결손 부위 재건을 위한 얕은엉덩휘돌이동맥 천공지 유리 피판술
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Received: 12 April 2013   • Revised: 29 April 2013   • Accepted: 1 May 2013
Purpose: For reconstruction of lower extremity defects, various flaps can be used and the appropriate flap must be selected and applied according to the size of the defect. In particular, in cases where the defect size is small to moderate, thinner or smaller volume flaps are useful. The authors performed reconstruction of small to moderate defects on the lower extremities using superficial circumflex iliac artery perforator free flaps and are reporting the results.
Materials and Methods: Fifteen patients underwent reconstruction of defects on lower extremity areas using superficial circumflex iliac artery perforator free flaps from July 2011 to July 2012 at this hospital. The flaps were elevated from above the deep fat layer, and, in all cases, the vessel diameter of the flaps was less than 1mm, with the exception of superficial vein that accompanied it.
Results: The mean follow up period was 4.46 months, and, despite a partial loss in the flap in two cases, there were no total losses. All donor sites were closed with primary closure, and there was no occurrence of complications, such as hematomas, seromas, or lymphorrheas. The patients were highly satisfied with the donor site scar since it could be masked by underwear.
Conclusion: Compared to other flaps, superficial circumflex iliac artery perforator free flaps are thinner in thickness and smaller in volume, which results in a more natural contour of the recipient site after the operation. In addition, since the flap can be elevated from supra-deep fat layer, the operation time can be shortened, and lymphorrhea can be prevented, which in turn lessens donor-site morbidity.
Key Words: Superficial circumflex iliac artery perforator free flap, Lower extremity reconstruction, Super-micro surgery

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