Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap

Overview

Journal Medicina (Kaunas)

Publisher MDPI

Specialty General Medicine

Date 2022 May 28

PMID 35630087

Authors

Yuma Fuse

Hidehiko Yoshimatsu

Ryo Karakawa

Tomoyuki Yano

Affiliations

Soon will be listed here.

Abstract

: Prolonged drain stay and lymphorrhea are often problems at the donor site of the superficial circumflex iliac artery perforator (SCIP) flap. This study aimed to introduce a novel technique of the SCIP flap elevation: Deep Fat Saving (DFS) technique. : Thirty-two patients who underwent the SCIP flap transfer were divided based on the flap-elevated layer: above the deep fascia or the Camper fascia saving the deep fat. The duration of drain stay and the rates of flap survival and donor-site complications were compared between the groups. The inverse probability weighting (IPW) method was conducted to balance confounders. : By IPW, two balanced pseudo-populations were created: DFS = 33.9 and Conventional = 31.3. There were no significant differences in the rate of flap survival (DFS: 100% verses Conventional: 95.8%, = 0.32) and donor site complications (DFS: 2.4% versus Conventional: 1.3%, = 0.68, respectively). The duration of drain stay was shorter in the DFS group (weighted median: 6 versus 8 days; weighted difference: -1.6 days (95% confidence interval: -2.8 to -0.4), = 0.01). : An SCIP flap can be reliably harvested using the Deep Fat Saving technique.

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