Elevation Technique for Medial Branch based Superficial Circumflex Iliac Artery Perforator flap.

Elevation Technique for Medial Branch based Superficial Circumflex Iliac Artery Perforator flap.
Handchir Mikrochir Plast Chir. 2018 Aug;50(4):256-258
Authors: Suh YC, Hong JP, Suh HP
Abstract
According to early studies on the superficial circumflex iliac artery perforator flap, there are two major types of perforators that are presumed to originate from the superficial circumflex iliac artery: the medial perforator with a direct cutaneous vessel (superficial branch) - located relatively medially on the flap, and the lateral perforator, traveling laterally beneath the deep fascia and often with an intramuscular pathway penetrating the deep fascia on the lateral aspect (deep branch) of the flap. Although there are well described studies on the anatomy of the arterial vasculature, design and elevation of the flap are different issues, as there are always some potential for anatomical variations, such as pedicle anatomy, location of lymph nodes, and thickness of superficial fascia. The presence of internal pudendal artery and superficial inferior epigastric artery in the groin may add to the confusion. One should also beware of the presence of major lymphatics which are drained into the superficial venous system. Therefore this paper will try to simplify the elevation technique based on the medial perforator. However, one must always be ready to identify a good perforator and to elevate it as a freestyle approach to overcome the variati...

Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - August 22, 2018 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research