Use of the superficial circumflex iliac artery perforator flap for reconstruction after sarcoma resection

Abstract

Background Postoperative complications after flap‐coverage in sarcoma treatment can postpone postoperative adjunct treatments. Here, we present our experience with the use of the superficial circumflex iliac artery perforator (SCIP) flap after sarcoma resection. Patients and Methods Patients undergoing immediate reconstruction surgery with a flap after sarcoma resection at a single institution from February 2017 to April 2020 were identified. Patient demographics, tumor characteristics, surgical characteristics, and complications were examined. Results Thirty‐five consecutive patients underwent reconstructions using a SCIP flap (34 free and one pedicled SCIP flaps). We also identified 47 consecutive patients who underwent reconstruction with other pedicled or free flaps over the same time period. No significant differences were found in patient age, gender, defect size, or operative time between these two groups. The incidences of overall complications (20/47 [42.6%] vs. 3/35 [8.5%], p < .001), flap dehiscence (7/47 [14.8%] vs. 0/35 [0%], p = .018), and total flap complications (15/47 [31.9%] vs. 2/35 [5.7%], p = .005) were statistically greater in the control group than in the SCIP group. Conclusion With its minimal postoperative complication rate both in the reconstruction site and the donor site, the SCIP flap can be considered an optimal reconstruction option after sarcoma resection.

An Anatomical Study of Posterior Trunk Recipient Vessels, and Comparisons of Outcome following Pedicled- and Free-Flap Transfers for Treatment of Sarcoma in the Posterior Trunk

“…When using perforator-toperforator anastomosis, it is recommended to select a short-pedicled perforator flap (i.e., PAP, ALT, and SCIP flaps) to match the vessels caliber. 25,26 We must acknowledge several limitations of this study. First, this cadaveric study included possible underestimation of the number of perforators because formalin fixed cadavers were used.…”

“…When using perforator-to-perforator anastomosis, it is recommended to select a short-pedicled perforator flap (i.e., PAP, ALT, and SCIP flaps) to match the vessels caliber. 25 26…”

Clinical application of free inguinal flaps with retrograde blood supply anastomotic to repair soft tissue defects of extremities

“…The superficial circumflex iliac artery perforator flap can be used to repair limbs, head, neck, other wounds, and sarcoma in the other parts of the trunk after surgery and also to reconstruct the tongue, breast, penis, and other organs. [12][13][14][15] The superficial external oblique aponeurotic branch, the lymph node branch, the deep branch of the sartorius muscle branch, and the iliac branch can be used to cut multi-tissue chimeric skin flaps, segmented skin flaps, and lymphatic skin flaps. [14] Based on the advantages of multifunction, multipurpose, and hidden supply and demand, this flap is superior to the anterolateral thigh flap commonly used in clinical practice.…”

Multiple Flap Transfer for Multiple Local Recurrence of Soft Tissue Sarcoma

“…While smaller defects can be addressed with primary closure, larger ones necessitate more advanced plastic and reconstructive surgery techniques, such as local or free flap transfers. These reconstruction techniques have been explored extensively in the academic literature [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. With the current improvements in microsurgical techniques and instruments, some recent studies have shown that free flap transfers have a similar safety profile to the reconstruction using a local flap [ 2 , 3 , 10 ].…”