Oct 19, 2023 · Thin-ALT and SCIP flaps demonstrate low rates of flap failure and secondary complications that are comparable to standard ALT flaps. Thin-ALT and SCIP flaps are viable options for complex lower extremity reconstruction.

Jun 20, 2024 · Results: Eighteen anterolateral thigh (ALT) perforator flaps and twenty-two deep inferior epigastric artery perforator (DIEP) and superficial circumflex iliac artery perforator (SCIP) flap procedures were performed. The two groups were homogeneous for major post-operative complications ( p > 0.999).

Jun 24, 2024 · The SCIP flap pedicle offers greater length compared with a cutaneous flap sourced from the peroneal artery, thus providing increased flexibility for the flap inset. In the second scenario, the SCIP flap is combined with the anterolateral thigh (ALT) flap to manage a significant defect.

Jul 12, 2023 · The pedicled ALT flap is widely used as a dependable workhorse for reconstruction of complex abdominal and pelvic reconstructions. 10 To the best of our knowledge, this is the first report of using a pedicled ALT flap for the coverage of a large SCIP flap donor site.

We believe that the distally based anterolateral thigh flap is a valuable alternative. The ALT flap is technically more demanding, but offers a larger variety in size and shape, with better skin match and less bulkiness, in comparison to the gastrocnemius muscle flap.

The Superficial circumflex iliac artery perforator flap (SCIP) is an alternative providing a donor site that can be readily closed primarily with improved cosmesis in younger patients, due to its concealability. Methods: We reviewed 135 patients who received ALT, RFFF or SCIP flaps for oral reconstruction in our institution. Our aim was to ...

Mar 30, 2021 · The SFL thickness in the lower extremity (SCIP and ALT) was somewhat similar in thickness between the different BMI groups, breaking the paradigm that flaps in an obese patient would be bulky and would need future defatting procedures.

Jun 13, 2021 · ALT flap variation allows the incorporation of a chimeric flap design for lower limb defect reconstruction. It is not only available as a free flap but also can be raised as a pedicled ALT flap to provide a large arc of coverage for soft tissue reconstruction.

Oct 19, 2023 · Article on Thin-ALT and SCIP flaps versus standard ALT for lower extremity reconstruction: how thick is the evidence?, published in European Journal of Plastic Surgery 46 on 2023-10-19 by Valera Castanov+5.

Jun 13, 2021 · The SCIP flap has replaced the anterolateral thigh (ALT) flap as our workhorse flap for simple resurfacing of the leg. When a large flap has to be harvested, using the lateral branch allows to harvest the skin extending to the abdominal flank region.