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Resurfacing of multiple adjacent defects with free multipaddle SCIAP flaps.
Tinggang Chu1, Wenzhen Zhang2, Tingxiang Chen2
1Department of Plastic Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210012, China.
Summary
Free multipaddle superficial circumflex iliac artery perforator (SCIAP) flaps offer a promising solution for reconstructing multiple adjacent defects. This study demonstrates their feasibility and high patient satisfaction, addressing a significant reconstructive challenge.
Area of Science:
- Microsurgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Efficient reconstruction of multiple adjacent defects (MADs) is challenging.
- Existing methods for MADs reconstruction often lead to recipient-site impairments, pain, and prolonged hospitalization.
- There is a need for improved reconstructive strategies for MADs.
Purpose of the Study:
- To evaluate the feasibility of reconstructing MADs using free multipaddle superficial circumflex iliac artery perforator (SCIAP) flaps.
- To assess the outcomes and complications associated with this technique.
Main Methods:
- A retrospective study of patients with upper and lower extremity defects treated with 2-, 3-, and 4-paddle SCIAP flaps from Dec 2015 to Dec 2020.
- Collection of patient demographics and reconstructive outcomes.
Main Results:
- All free multipaddle SCIAP flaps survived without vascular compromise.
- Donor sites were closed directly with minimal complications, including partial flap necrosis and lateral femoral cutaneous nerve palsies.
- High patient satisfaction was reported for all reconstructive outcomes.
Conclusions:
- Free multipaddle SCIAP flaps represent a versatile and promising alternative for MADs reconstruction.
- This technique addresses the reconstructive demand by effectively utilizing available tissue.
- The study highlights the potential of SCIAP flaps to overcome the limitations of traditional reconstructive approaches for complex defects.
