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Related Experiment Video

Updated: Jun 27, 2026

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Published on: January 15, 2017

Wide combined thin free SCIA/SIEA flap.

Serdar Nasir¹, Mustafa Asim Aydin

¹Cleveland Clinic Foundation, Cleveland, OH, USA. nasirs@ccf.org

Annals of Plastic Surgery

|November 27, 2008

Summary

Thinning free SCIA/SIEA flaps provides excellent aesthetic and functional outcomes for reconstructive surgery. This technique, applied to 11 patients, achieved high flap survival rates without needing secondary revisions.

Area of Science:

Plastic Surgery
Reconstructive Surgery
Microsurgery

Background:

Thin skin flaps are crucial for resurfacing delicate areas like the oral lining, hands, and feet.
Wide and thin flaps enhance aesthetic and functional results in reconstructive surgery.
The thinning procedure has been adapted for free SCIA/SIEA flaps.

Purpose of the Study:

To evaluate the efficacy and safety of the thinning procedure for free SCIA/SIEA flaps in soft tissue reconstruction.
To assess the aesthetic and functional outcomes of using thin free SCIA/SIEA flaps.

Main Methods:

A retrospective review of 11 patients undergoing soft tissue reconstruction with thin free SCIA/SIEA flaps between 2003 and 2006.
The surgical technique involved complete removal of deep subcutaneous fat and thinning of superficial subcutaneous tissue, preserving a protective fat layer.

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Procedures were performed without an operating microscope.

Main Results:

Flap dimensions ranged from 10 to 60 cm in length and 6 to 55 cm in width.
Ten out of eleven flaps (90.9%) survived completely.
One case experienced distal superficial necrosis, and no secondary flap defatting or revision was required.

Conclusions:

The free SCIA/SIEA flap can be safely prepared using a simple thinning procedure.
This technique offers a viable option for achieving wide and thin flaps in reconstructive surgery.
The procedure yields satisfactory aesthetic and functional results with minimal complications.