Surgery Spotlight: Superficial Circumflex Iliac Perforator (SCIP) Flap for Plantar Surface-Surgery Spotlight: Superficial Circumflex Iliac Perforator (SCIP) Flap for Plantar Surface

Surgery Spotlight: Superficial Circumflex Iliac Perforator (SCIP) Flap for Plantar Surface

Video Transcription

Video Summary

Dr. J.P. Hong from Asan Medical Center in Seoul discusses a surgical procedure to reconstruct tissue for a patient with malignant melanoma on her foot. The surgery involves a skip flap superficial circumflex iliac artery perforator (SCIP) flap. Initially, orthopedic surgeons perform cancer resection, followed by general surgeons removing lymph nodes. Dr. Hong's team concludes by reconstructing the defect with the SCIP flap, which is favored for its thinness, speed, and reliable perforator base. Using Doppler and duplex scanning, perforators are identified and mapped. The planned flap reconstruction matches the defect size from cancer excision. Anastomosis is performed using microvascular techniques, ensuring no tension in attachments and maintaining blood flow. Dr. Hong emphasizes careful closure to prevent scarring and advises post-operative monitoring, splinting, and gradual reintroduction of leg movement to ensure healing. Effective hydration is crucial for maintaining peripheral circulation, particularly when dealing with small vessel reconstructions. This meticulous approach aims to achieve optimal surgical outcomes and patient recovery.

Asset Caption

Joon Pio Hong, MD, presents the Superficial Circumflex Iliac Perforator Flap (SCIP flap). The surgical markings and vascular anatomy of this thin, pliable, fasciocutaneous flap are described. A detailed video of a clinical case in which the SCIP flap is used for plantar foot reconstruction following a melanoma resection demonstrates the techniques of SCIP flap elevation, inset, and donor site closure of this versatile flap.

Surgeon JP Hong, MD

Disclosure Dr. Hong has nothing to disclose.All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose. All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials. This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Reconstructive

Microsurgery

JP Hong MD; Memben

malignant melanoma

SCIP flap

tissue reconstruction

microvascular techniques

perforator mapping

post-operative care

surgical outcomes