Suprafascial dissection of the pedicled groin flap: A safe and practical approach to flap harvest

Abdel‐Rahman, Mohamed S.; Zelken, Jonathan; Huang, Ren-Wen; Hsu, Chung-Chen; Lin, Chih‐Hung; Lin, Yu‐Te; Lin, Chih-Hung

doi:10.1002/micr.30238

Cited by 10 publications

(13 citation statements)

References 28 publications

(52 reference statements)

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“…Twenty patients were included in this study. In correlation to other studies, 30 patients were performed by Kimura [13], five patients by Green [14], six by Choi [15], 41 by Lee [16], and 28 by Abdelrahman [5]. The largest study group was 210 by Goh.…”

Section: Discussionmentioning

confidence: 85%

“…The groin flap has the advantage of being a reliable & versatile flap for complex hand & forearm defects. As a pedicled flap, it is easy & fast to harvest with great outcome and easy to learn and to teach [5].…”

Section: Discussionmentioning

confidence: 99%

“…The flap was raised entirely superficial to the deep fascia, and based solely on the superficial branch of the SCIA along with the medial dermal plexus. This new technique avoids opening the deep fascia and minimizes the chances of injury to major vessels, nerves and lymphatic channels, and most importantly decreases the unnecessary flap bulk with no statistical difference to flap survival when compared to the conventional groin flap elevation technique [5].…”

Section: First Introduced By Mcgregor and Jackson Inmentioning

confidence: 99%

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Back to Groin; Re-Knocking the Door…

Kadry

Sharkawy

Essawy

et al. 2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Old but solid gold. This is the first thing that comes to our mind when we hear the word "Groin Flap". The inimitable flap holds the advantages of being easily harvested with a relatively concealed donor site and very low morbidity. Recently, the goals of reconstruction have rapidly progressed from merely filling a hole to providing an improved function, pleasing aesthetic outcome and minimal to no donor site morbidity. Compared to the bulky conventional groin flap, the Superficial Circumflex Iliac artery Flap perforator (SCIP) fulfills the later requirements by being an already thin flap upon harvest, that doesn't require further de-bulking. This yields thin, pliable tissue with a well-concealed donor site scar and minimal donor site morbidity. In the current study, we represent our experience in using the SCIP flap for various defects of the hand due to different etiologies. Methods: Twenty SCIP flaps were raised superficial to the breaching fascia to cover various defects of the hand and distal forearm during the period of June 2018 to June 2019. Accordingly, with the preservation of the fascia, the flap relies wholly on the superficial branch of the superficial circumflex iliac artery, along with the sub-dermal plexus, sparing the deep branch. Results: Twenty patients (14 males and 6 females) with various injuries to the hand were treated with supra-fascial groin SCIP flap.-The mean age was 26.9 years (range 8-50 years, SD 10.70).-Mean BMI was 27.56Kg/m 2 (20-30 Kg/m 2 , SD 5). Supra-fascial flaps were taken as large as (10cm x 20cm). Mean operative time was 3.05 hours (±0.83), and mean followup was eight months (6-12 months, SD 2.1). All injuries did not require further flap thinning or refashioning. Conclusion: SCIP flap with its supra-fascial dissection can be safely used as an alternative to the conventional groin flap. With its thin nature, better flap in-setting is obtained, the aesthetic outcome is more pleasant and the need for further revisionary debulking surgeries is almost eliminated.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: First Introduced By Mcgregor and Jackson Inmentioning

confidence: 99%

See 1 more Smart Citation

Back to Groin; Re-Knocking the Door…

Kadry

Sharkawy

Essawy

et al. 2020

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…This may be one reason why some reconstructive surgeons do not use the groin flap as a free vascular tissue transfer on a regular basis. 20 However, due to its advantages of low donor-site morbidity combined with the good tissue pliability, we continue to employ this flap routinely. 20 It has been demonstrated that hypertension, peripheral arterial disease, as well as nicotine abuse are significant factors to worsen outcomes in microsurgical free flap procedures.…”

Section: Discussionmentioning

confidence: 99%

“…20 However, due to its advantages of low donor-site morbidity combined with the good tissue pliability, we continue to employ this flap routinely. 20 It has been demonstrated that hypertension, peripheral arterial disease, as well as nicotine abuse are significant factors to worsen outcomes in microsurgical free flap procedures. [21][22][23][24] These findings could not be confirmed by us.…”

Section: Discussionmentioning

confidence: 99%