{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T23:12:59Z","timestamp":1786403579857,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T00:00:00Z","timestamp":1570492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The deep branch of the superficial circumflex iliac artery (SCIA) should be included when a large superficial circumflex iliac artery perforator (SCIP) flap is necessary, or when anatomical structures perfused by the deep branch are procured. The aim of this study was first to describe the anatomical features of the \u201ctransverse branch\u201d of the deep branch of the SCIA in cadavers, and then to assess the efficacy of its use as a landmark for identification and dissection of the deep branch of the SCIA through clinical applications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty groin regions from 10 cadavers were dissected. The course and the takeoff point of the transverse branch were documented. With the transverse branch used as a landmark for pedicle dissection, 27 patients (16 males and 11 females) with an average age of 51.7\u2009years underwent reconstructions that used vascularized structures nourished by the deep branch of the SCIA. Aside from the skin paddle, an iliac bone flap was used in 10 cases, a lateral femoral cutaneous nerve flap in four cases, and a sartorius muscle flap in three cases. The defect locations included the head (seven cases), the foot (six cases), the hand (six cases), the arm (five cases), and the leg (three cases). The causes of reconstruction were tumors in 13 patients, trauma in six patients, infection in four patients, surgical procedures in three patients, and refractory ulcer in one patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all specimens, the transverse branch was found underneath the deep fascia caudal to the anterior superior iliac spine (ASIS). The average distance from the ASIS to the transverse branch was 25.5\u2009\u00b1\u200913.0\u2009mm (range, 5\u201350\u2009mm). The average dimension of the flap was 13.1\u2009\u00d7\u20095.9 cm<jats:sup>2<\/jats:sup>. All the flaps survived completely after the surgery; lymphorrhea was seen in one patient at the donor site. The average follow\u2010up period was 12.9 months (range, from 2 to 42\u2009months), and all patients had good functional recovery with satisfactory esthetic results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The transverse branch was found in all specimens, branching from the deep branch of the SCIA. Successful results were achieved by using it as the landmark for identification and dissection of the deep branch of the SCIA. This method allows safe elevation of a large SCIP flap or a chimeric SCIP flap.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30518","type":"journal-article","created":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T07:04:10Z","timestamp":1570518250000},"page":"721-729","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Use of the transverse branch of the superficial circumflex iliac artery as a landmark facilitating identification and dissection of the deep branch of the superficial circumflex iliac artery for free flap pedicle: Anatomical study and clinical applications"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5427-817X","authenticated-orcid":false,"given":"Hidehiko","family":"Yoshimatsu","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Cancer Institute Hospital of the Japanese Foundation for Cancer Research  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takumi","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Center Hospital of National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akitatsu","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Breast Center Kameda Medical Center  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuma","family":"Fuse","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Center Hospital of National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6096-8094","authenticated-orcid":false,"given":"Ryo","family":"Karakawa","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Cancer Institute Hospital of the Japanese Foundation for Cancer Research  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Graduate School of Medicine University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsunaga","family":"Narushima","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Graduate School of Medicine University of Mie  Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Tanakura","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Cancer Institute Hospital of the Japanese Foundation for Cancer Research  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang J.","family":"Weninger","sequence":"additional","affiliation":[{"name":"Department of Systematic Anatomy Institute of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chieh Han John","family":"Tzou","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Hospital of the Divine Saviour (Krankenhaus Goettlicher Heiland)  Vienna Austria"},{"name":"Faculty of Medicine Sigmund Freud University  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,8]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"120","volume-title":"Atlas of microvascular surgery: Anatomy and operative approaches","author":"Berish 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