PDF(Pubmed)
Abstract：
BACKGROUND: Large skin lesions of the upper extremity tend to be \'\'long and narrow\'\' in shape, and the currently used repair and reconstruction protocols still have some drawbacks, including difficulty in closure of the donor area, poor cosmetic appearance of the donor and recipient areas, and low flap survival rates. The ilioinguinal flap has been more widely used for repair and reconstruction of various complex conditions. In order to improve the versatility of the flap design and to achieve better aesthetic results, we report a study on the improved design of Compound SCIP flap for repairing \"long and narrow\" large skin defects of the upper extremity by using a modified design of the ilioinguinal flap for the procurement of perforating blood vessels and flap excision.
METHODS: From April 2005 to August 2015, a total of 12 patients underwent this modified design procedure, in which the anterior branch of the fourth lumbar artery or the posterior intercostal artery was selected to provide blood supply for the perforator flap together with the superficial branch of the superficial iliac artery to meet the blood supply needs of the flap for the one-time repair of a large \"long and narrow\" skin defect in the upper limb. Patient demographics, flap characteristics, and associated complications were retrospectively analyzed.
RESULTS: 3 females and 9 males were included in this study, the mean age of the patients was 31.7 years (range, 22-44 years), the mean follow-up period was 15.3 ± 5.6 months (range, 7-24 months), and all patients had complete closure of the defect site and donor area, and all flaps survived.
CONCLUSIONS: The Compound SCIP flap presents some advantages in repairing \'long and narrow\' skin defects in the upper limb. While ensuring the survival rate of the elongated ilioinguinal flap, it amplifies the benefits of the ilioinguinal flap and enhances skin utilization. This can serve as a beneficial choice for repairing \'long and narrow\' skin defects in the upper limb.
METHODS: From April 2005 to August 2015, a total of 12 patients underwent this modified design procedure, in which the anterior branch of the fourth lumbar artery or the posterior intercostal artery was selected to provide blood supply for the perforator flap together with the superficial branch of the superficial iliac artery to meet the blood supply needs of the flap for the one-time repair of a large \"long and narrow\" skin defect in the upper limb. Patient demographics, flap characteristics, and associated complications were retrospectively analyzed.
RESULTS: 3 females and 9 males were included in this study, the mean age of the patients was 31.7 years (range, 22-44 years), the mean follow-up period was 15.3 ± 5.6 months (range, 7-24 months), and all patients had complete closure of the defect site and donor area, and all flaps survived.
CONCLUSIONS: The Compound SCIP flap presents some advantages in repairing \'long and narrow\' skin defects in the upper limb. While ensuring the survival rate of the elongated ilioinguinal flap, it amplifies the benefits of the ilioinguinal flap and enhances skin utilization. This can serve as a beneficial choice for repairing \'long and narrow\' skin defects in the upper limb.
摘要：
背景：上肢的大皮肤损伤往往是\'\'长且窄\'\'的形状，目前使用的修复和重建协议仍然存在一些缺陷，包括关闭捐赠区的困难，供体和受体区域的外观不佳，皮瓣存活率低。髂腹股沟皮瓣已被更广泛地用于各种复杂情况的修复和重建。为了提高襟翼设计的通用性，达到更好的美观效果，我们报告了一项关于复合SCIP皮瓣的改进设计，用于修复上肢“长而窄”的大皮肤缺损的研究，该方法是使用改良的髂腹股沟皮瓣设计来获得穿通血管和皮瓣切除。
方法：从2005年4月到2015年8月，共有12名患者接受了这种改良的设计程序，其中选择第四腰动脉前支或肋间后动脉为穿支皮瓣和髂浅动脉浅支提供血液供应，以满足皮瓣一次性修复上肢大型“长窄”皮肤缺损的血液供应需求。患者人口统计学，襟翼特性，并对相关并发症进行回顾性分析。
结果：本研究包括3名女性和9名男性，患者的平均年龄为31.7岁(范围，22-44岁），平均随访期为15.3±5.6个月(范围，7-24个月），所有患者的缺损部位和供体区域都完全闭合，所有皮瓣都活了下来.
结论：复合SCIP皮瓣在修复上肢的“长而窄”皮肤缺损方面具有一定的优势。在保证延长髂腹股沟皮瓣成活率的同时,它放大髂腹股沟皮瓣的好处，并提高皮肤利用率。这可以作为修复上肢“长而窄”皮肤缺损的有益选择。
方法：从2005年4月到2015年8月，共有12名患者接受了这种改良的设计程序，其中选择第四腰动脉前支或肋间后动脉为穿支皮瓣和髂浅动脉浅支提供血液供应，以满足皮瓣一次性修复上肢大型“长窄”皮肤缺损的血液供应需求。患者人口统计学，襟翼特性，并对相关并发症进行回顾性分析。
结果：本研究包括3名女性和9名男性，患者的平均年龄为31.7岁(范围，22-44岁），平均随访期为15.3±5.6个月(范围，7-24个月），所有患者的缺损部位和供体区域都完全闭合，所有皮瓣都活了下来.
结论：复合SCIP皮瓣在修复上肢的“长而窄”皮肤缺损方面具有一定的优势。在保证延长髂腹股沟皮瓣成活率的同时,它放大髂腹股沟皮瓣的好处，并提高皮肤利用率。这可以作为修复上肢“长而窄”皮肤缺损的有益选择。
