A fabricated chimeric SCIP flap with end-to-side anastomosis: A case report

Abstract

Superficial circumflex iliac artery perforator flap (SCIP) is one of the most convenient flaps to cover distal extremity defects because it conceals the scar of the donor area well and can be raised as a thin or super-thin flap. In recent years, various chimeric SCIP flaps were reported, including the sartorius muscle, the lateral femoral cutaneous nerve, and the iliac bone. However, chimeric SCIP flap is sometimes difficult to be raised on one pedicle, because of the absence of communication between a skin branch and a branch to a chimeric tissue. We present a case in which end-side anastomosis of a sartorius muscle perforator to a SCIP flap pedicle is made to form a fabricated chimeric SCIP flap due to variation in the pedicle. This design aims to fill cavitary spaces and supply better perfusion for infection control.