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Upper extremity reconstruction using free SCIA/SIEA flap.

Serdar Nasir¹, Mustafa Asim Aydin

¹Department of Plastic and Reconstructive Surgery, Hacettepe University, School of Medicine, Ankara, Turkey. snasir@hacettepe.edu.tr

|October 1, 2009

Summary

The free superficial circumflex inferior artery (SCIA)/superficial inferior epigastric artery (SIEA) flap is a viable option for upper extremity reconstruction, offering good aesthetic and functional outcomes with minimal donor site morbidity. This flap provides adequate tissue and a reliable vascular pedicle, making it a preferred choice for soft-tissue reconstruction.

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Area of Science:

Orthopedics
Plastic Surgery
Microsurgery

Background:

Free flap reconstruction is crucial for upper extremity defects, requiring tissue with adequate quality, vascularity, and texture.
Donor site morbidity and aesthetic outcomes are key considerations in selecting free flaps for upper extremity reconstruction.

Observation:

The study retrospectively analyzed 20 free SCIA/SIEA flaps used for upper extremity soft-tissue reconstruction over three years.
Nineteen of the 20 flaps (95% success rate) were successful, with three requiring reexploration and one failure.
Flap thinning was performed during harvest in four cases, and secondary debulking was needed in another four.

Findings:

The free SCIA/SIEA flap demonstrated acceptable functional and aesthetic results in all patients.

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Published on: June 13, 2025

Flap thinning can be safely performed during elevation, and the lower abdominal incision minimizes donor site scarring.

Implications:

The free SCIA/SIEA flap is a reliable and advantageous option for upper extremity reconstruction, balancing reconstructive needs with donor site cosmesis.
This flap offers a safe method for tissue modification and a less conspicuous donor scar, enhancing patient satisfaction.