{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:36:54Z","timestamp":1761658614441,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Fournier's gangrene often leads to extensive perineogenital soft tissue loss, necessitating complex reconstruction. The superficial circumflex iliac artery perforator (SCIP) flap is known for its thin pliable skin and low donor site morbidity. We present a case of a 65\u2010year\u2010old male with Fournier's gangrene affecting both the mons pubis and scrotum. After multiple debridements, a double\u2010paddle SCIP flap based solely on the superficial branch of the SCIA was designed with two independent skin paddles to reconstruct these adjacent but anatomically distinct areas. Preoperative CT angiography and intraoperative SPY imaging enabled flap design and ensured vascular reliability. A double\u2010paddle SCIP flap was elevated with two skin paddles, each inset to separate regions. Through proximal\u2010to\u2010distal dissection, the superficial circumflex iliac artery and its superficial branch were identified and dissected. Upon confirming the origin of the arterial branching of the superficial branch, two flaps were designed\u2014one superiorly and one inferiorly positioned\u2014measuring 14\u2009\u00d7\u20097\u2009cm and 8\u2009\u00d7\u20095\u2009cm, respectively, with an approximate thickness of 10\u2009mm and a pedicle length of 8\u2009cm. The total operative time was approximately 55\u2009min. Postoperative recovery was uneventful, with satisfactory healing and aesthetic outcome at 6 months. This case illustrates a novel use of a double\u2010paddle SCIP flap based exclusively on the superficial branch of the SCIA to simultaneously reconstruct two separate anatomic regions affected by Fournier's gangrene. This approach provides a single\u2010donor, dual\u2010target solution that is both reliable and aesthetically favorable.<\/jats:p>","DOI":"10.1002\/micr.70129","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T02:49:36Z","timestamp":1760669376000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Double\u2010Paddle Use of the Superficial Circumflex Iliac Artery Perforator Flap for Fournier's Gangrene: A Case Report"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2430-727X","authenticated-orcid":false,"given":"S\u00fcleyman","family":"\u00c7e\u00e7en","sequence":"first","affiliation":[{"name":"Plastic Reconstructive and Aesthetic Surgery Department Bursa Uluda\u011f University Faculty of Medicine  Bursa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Menek\u015fe","family":"Kastamoni Ba\u015fkan","sequence":"additional","affiliation":[{"name":"Plastic Reconstructive and Aesthetic Surgery Department Bursa Uluda\u011f University Faculty of Medicine  Bursa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sel\u00e7uk","family":"Akin","sequence":"additional","affiliation":[{"name":"Plastic Reconstructive and Aesthetic Surgery Department Bursa Uluda\u011f University Faculty of Medicine  Bursa 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