POST-TRAUMATIC SCROTAL RECONSTRUCTION WITH A PEDICLED “EXTENDED” SUPERFICIAL CIRCUMFLEX ILIAC ARTERY PERFORATOR FLAP. A CASE REPORT.

Abstract

The superficial circumflex iliac artery perforator (SCIP) flap has been used for scrotal reconstruction after Fournier's gangrene, skin cancer or infections. However, there are few publications on regard to penoscrotal reconstruction after a traumatic injury with this flap. In this article, we propose a new SCIP flap variation, the “extended” or “direct” SCIP flap, to effectively reconstruct a wide scrotal defect after a traumatic injury. The “extended” SCIP flap is designed medial and cranial to the anterosuperior iliac spine (ASIS) using the superficial branch of the superficial circumflex iliac artery (SCIA) as the main pedicle.