{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T21:14:17Z","timestamp":1793740457609,"version":"4.6.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Med Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Large skin lesions of the upper extremity tend to be \u2018\u2018long and narrow\u2019\u2019 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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>3 females and 9 males were included in this study, the mean age of the patients was 31.7 years (range, 22\u201344 years), the mean follow-up period was 15.3\u2009\u00b1\u20095.6\u00a0months (range, 7\u201324\u00a0months), and all patients had complete closure of the defect site and donor area, and all flaps survived.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40001-024-01863-y","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T01:01:48Z","timestamp":1715216508000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Repair of a \u201clong and narrow\u201d skin defect of the upper extremity with a modified design of a compound SCIP flap: a series of 12 cases"],"prefix":"10.1186","volume":"29","author":[{"given":"Haiwen","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zetian","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deqing","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haibo","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengcheng","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"issue":"3","key":"1863_CR1","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1016\/j.cps.2019.03.010","volume":"46","author":"SD De","year":"2019","unstructured":"De SD, Sebastin SJ. Considerations in flap selection for soft tissue defects of the hand. Clin Plast Surg. 2019;46(3):393\u2013406. https:\/\/doi.org\/10.1016\/j.cps.2019.03.010.","journal-title":"Clin Plast Surg"},{"key":"1863_CR2","unstructured":"Gidero\u011flu K, Cak\u0131c\u0131 H, Y\u0131ld\u0131r\u0131m S, Yazar S, Ak\u00f6z T. Functional reconstruction in large and complex soft tissue defects of forearm and hand with multifunctional anterolateral thigh flap. Eklem hastaliklari ve cerrahisi = Joint diseases & related surgery. Published online 2009. Accessed January 5, 2023. https:\/\/www.semanticscholar.org\/paper\/Functional-reconstruction-in-large-and-complex-soft-Gidero%C4%9Flu-Cak%C4%B1c%C4%B1\/0423ef4ca0f603b05e385eb5e418bd5915ccc34f"},{"key":"1863_CR3","doi-asserted-by":"publisher","first-page":"409","DOI":"10.2174\/1874325001408010409","volume":"8","author":"M Griffin","year":"2014","unstructured":"Griffin M, Hindocha S, Malahias M, Saleh M, Juma A. Flap decisions and options in soft tissue coverage of the upper limb. Open Orthop J. 2014;8:409\u201314. https:\/\/doi.org\/10.2174\/1874325001408010409.","journal-title":"Open Orthop J"},{"issue":"2","key":"1863_CR4","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1097\/PRS.0000000000000951","volume":"135","author":"TLH Goh","year":"2015","unstructured":"Goh TLH, Park SW, Cho JY, Choi JW, Hong JP. the search for the ideal thin skin flap: superficial circumflex iliac artery perforator flap\u2014a review of 210 cases. Plast Reconstr Surg. 2015;135(2):592. https:\/\/doi.org\/10.1097\/PRS.0000000000000951.","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"1863_CR5","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1097\/SAP.0b013e3182503ac5","volume":"71","author":"JP Hong","year":"2013","unstructured":"Hong JP, Sun SH, Ben-Nakhi M. Modified superficial circumflex iliac artery perforator flap and supermicrosurgery technique for lower extremity reconstruction: a new approach for moderate-sized defects. Ann Plast Surg. 2013;71(4):380. https:\/\/doi.org\/10.1097\/SAP.0b013e3182503ac5.","journal-title":"Ann Plast Surg"},{"issue":"5","key":"1863_CR6","doi-asserted-by":"publisher","first-page":"1491","DOI":"10.1097\/01.prs.0000256057.42415.73","volume":"119","author":"WM Hsu","year":"2007","unstructured":"Hsu WM, Chao WN, Yang C, et al. Evolution of the free groin flap: the superficial circumflex iliac artery perforator flap. Plast Reconstr Surg. 2007;119(5):1491. https:\/\/doi.org\/10.1097\/01.prs.0000256057.42415.73.","journal-title":"Plast Reconstr Surg"},{"key":"1863_CR7","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-74232-4","volume-title":"Comprehensive atlas of upper and lower extremity reconstruction: from primary closure to free tissue transfer","author":"E Karamanos","year":"2021","unstructured":"Karamanos E, Julian BQ, Cromack DT. The superficial circumflex iliac artery perforator flap. In: Karamanos E, Julian BQ, Cromack DT, editors. Comprehensive atlas of upper and lower extremity reconstruction: from primary closure to free tissue transfer. Berlin: Springer International Publishing; 2021."},{"issue":"1","key":"1863_CR8","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/j.bjps.2021.05.069","volume":"75","author":"M Kueckelhaus","year":"2022","unstructured":"Kueckelhaus M, Gebur N, Kampshoff D, et al. Initial experience with the superficial circumflex iliac artery perforator (SCIP) flap for extremity reconstruction in Caucasians. J Plast Reconstr Aesthet Surg. 2022;75(1):118\u201324. https:\/\/doi.org\/10.1016\/j.bjps.2021.05.069.","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"1863_CR9","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1016\/j.amsu.2020.10.069","volume":"60","author":"E Benanti","year":"2020","unstructured":"Benanti E, De Santis G, Leti Acciaro A, Colzani G, Baccarani A, Starnoni M. Soft tissue coverage of the upper limb: a flap reconstruction overview. Ann Med Surg. 2020;60:338\u201343. https:\/\/doi.org\/10.1016\/j.amsu.2020.10.069.","journal-title":"Ann Med Surg"},{"issue":"5","key":"1863_CR10","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1097\/PRS.0b013e31816aa022","volume":"121","author":"GG Hallock","year":"2008","unstructured":"Hallock GG. Branch-based conjoined perforator flaps. Plast Reconstr Surg. 2008;121(5):1642\u20139. https:\/\/doi.org\/10.1097\/PRS.0b013e31816aa022.","journal-title":"Plast Reconstr Surg."},{"issue":"1","key":"1863_CR11","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1097\/01.PRS.0000095948.03605.20","volume":"113","author":"I Koshima","year":"2004","unstructured":"Koshima I, Nanba Y, Tsutsui T, et al. Superficial circumflex iliac artery perforator flap for reconstruction of limb defects. Plast Reconstr Surg. 2004;113(1):233\u201340. https:\/\/doi.org\/10.1097\/01.PRS.0000095948.03605.20.","journal-title":"Plast Reconstr Surg."},{"issue":"3","key":"1863_CR12","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1097\/PRS.0000000000003147","volume":"139","author":"HSP Suh","year":"2017","unstructured":"Suh HSP, Jeong HH, Choi DH, Hong JPJP. Study of the medial superficial perforator of the superficial circumflex iliac artery perforator flap using computed tomographic angiography and surgical anatomy in 142 patients. Plast Reconstr Surg. 2017;139(3):738. https:\/\/doi.org\/10.1097\/PRS.0000000000003147.","journal-title":"Plast Reconstr Surg."},{"issue":"2","key":"1863_CR13","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1097\/PRS.0000000000005282","volume":"143","author":"H Yoshimatsu","year":"2019","unstructured":"Yoshimatsu H, Steinbacher J, Meng S, et al. Superficial Circumflex Iliac Artery Perforator Flap: An Anatomical Study of the Correlation of the Superficial and the Deep Branches of the Artery and Evaluation of Perfusion from the Deep Branch to the Sartorius Muscle and the Iliac Bone. Plast Reconstr Surg. 2019;143(2):589. https:\/\/doi.org\/10.1097\/PRS.0000000000005282.","journal-title":"Plast Reconstr Surg."},{"key":"1863_CR14","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2020.151624","volume":"234","author":"C Zubler","year":"2021","unstructured":"Zubler C, Haberth\u00fcr D, Hlushchuk R, Djonov V, Constantinescu MA, Olariu R. The anatomical reliability of the superficial circumflex iliac artery perforator (SCIP) flap. Ann Anat Anatomischer Anz. 2021;234. https:\/\/doi.org\/10.1016\/j.aanat.2020.151624.","journal-title":"Ann Anat Anatomischer Anz."},{"issue":"10","key":"1863_CR15","first-page":"2703","volume":"26","author":"S Standring","year":"2005","unstructured":"Standring S. Gray\u2019s anatomy, 39th edition: the anatomical basis of clinical practice. AJNR Am J Neuroradiol. 2005;26(10):2703\u20134.","journal-title":"AJNR Am J Neuroradiol."},{"issue":"4","key":"1863_CR16","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1097\/PRS.0b013e31819f299e","volume":"123","author":"BJ Kiil","year":"2009","unstructured":"Kiil BJ, Rozen WM, Pan WR, et al. The lumbar artery perforators: a cadaveric and clinical anatomical study. Plast Reconstr Surg. 2009;123(4):1229. https:\/\/doi.org\/10.1097\/PRS.0b013e31819f299e.","journal-title":"Plast Reconstr Surg."},{"issue":"4","key":"1863_CR17","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1097\/SAP.0000000000003216","volume":"89","author":"PM Vonu","year":"2022","unstructured":"Vonu PM, Chopan M, Sayadi L, Chim HW, Leyngold M. Lumbar artery perforator flaps: a systematic review of free tissue transfers and anatomical characteristics. Ann Plast Surg. 2022;89(4):465. https:\/\/doi.org\/10.1097\/SAP.0000000000003216.","journal-title":"Ann Plast Surg."},{"issue":"5","key":"1863_CR18","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1097\/00000637-197905000-00008","volume":"2","author":"CL Kerrigan","year":"1979","unstructured":"Kerrigan CL, Daniel RK. The intercostal flap: an anatomical and hemodynamic approach. Ann Plast Surg. 1979;2(5):411\u201321.","journal-title":"Ann Plast Surg."},{"issue":"1","key":"1863_CR19","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1097\/00006534-198401000-00003","volume":"73","author":"HA Badran","year":"1984","unstructured":"Badran HA, El-Helaly MS, Safe I. The lateral intercostal neurovascular free flap. Plast Reconstr Surg. 1984;73(1):17\u201326. https:\/\/doi.org\/10.1097\/00006534-198401000-00003.","journal-title":"Plast Reconstr Surg."},{"issue":"2","key":"1863_CR20","doi-asserted-by":"publisher","first-page":"80","DOI":"10.3109\/2000656X.2015.1102737","volume":"50","author":"M Durgun","year":"2016","unstructured":"Durgun M, Ba\u015f S, Aslan C, Canbaz Y, I\u015f\u0131k D. Use of dorsal intercostal artery perforator flap in the repair of back defects. J Plast Surg Hand Surg. 2016;50(2):80\u20134. https:\/\/doi.org\/10.3109\/2000656X.2015.1102737.","journal-title":"J Plast Surg Hand Surg."},{"issue":"2","key":"1863_CR21","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/j.cps.2020.12.005","volume":"48","author":"JP Hong","year":"2021","unstructured":"Hong JP. The superficial circumflex iliac artery perforator flap in lower extremity reconstruction. Clin Plast Surg. 2021;48(2):225\u201333. https:\/\/doi.org\/10.1016\/j.cps.2020.12.005.","journal-title":"Clin Plast Surg."},{"issue":"2","key":"1863_CR22","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1002\/micr.30776","volume":"42","author":"T Yamamoto","year":"2022","unstructured":"Yamamoto T, Yamamoto N. An extended superficial circumflex iliac artery perforator flap transfer for a relatively-small breast reconstruction after total mastectomy. Microsurg. 2022;42(2):181\u20136. https:\/\/doi.org\/10.1002\/micr.30776.","journal-title":"Microsurg."},{"issue":"9","key":"1863_CR23","doi-asserted-by":"publisher","first-page":"3217","DOI":"10.1016\/j.bjps.2022.06.021","volume":"75","author":"M Fernandez-Garrido","year":"2022","unstructured":"Fernandez-Garrido M, Nunez-Villaveiran T, Zamora P, Masia J, Leon X. The extended SCIP flap: An anatomical and clinical study of a new SCIP flap design. J Plast Reconstr Aesthetic Surg. 2022;75(9):3217\u201325. https:\/\/doi.org\/10.1016\/j.bjps.2022.06.021.","journal-title":"J Plast Reconstr Aesthetic Surg."},{"issue":"6","key":"1863_CR24","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1002\/micr.30620","volume":"40","author":"H Yoshimatsu","year":"2020","unstructured":"Yoshimatsu H, Hayashi A, Karakawa R, Yano T. Combining the superficial circumflex iliac artery perforator flap with the superficial inferior epigastric artery flap or the deep inferior epigastric artery perforator flap for coverage of large soft tissue defects in the extremities and the trunk. Microsurg. 2020;40(6):649\u201355. https:\/\/doi.org\/10.1002\/micr.30620.","journal-title":"Microsurg."},{"issue":"7","key":"1863_CR25","doi-asserted-by":"publisher","first-page":"151e","DOI":"10.1097\/01.prs.0000219178.20541.7f","volume":"117","author":"GG Hallock","year":"2006","unstructured":"Hallock GG. Further clarification of the nomenclature for compound flaps. Plast Reconstr Surg. 2006;117(7):151e. https:\/\/doi.org\/10.1097\/01.prs.0000219178.20541.7f.","journal-title":"Plast Reconstr Surg."},{"issue":"4","key":"1863_CR26","doi-asserted-by":"publisher","first-page":"1720","DOI":"10.1097\/PRS.0b013e31820a662b","volume":"127","author":"GG Hallock","year":"2011","unstructured":"Hallock GG. The complete nomenclature for combined perforator flaps. Plast Reconstr Surg. 2011;127(4):1720\u20139. https:\/\/doi.org\/10.1097\/PRS.0b013e31820a662b.","journal-title":"Plast Reconstr Surg."},{"issue":"6","key":"1863_CR27","doi-asserted-by":"publisher","first-page":"329","DOI":"10.18926\/AMO\/31999","volume":"55","author":"I Koshima","year":"2001","unstructured":"Koshima I. A new classification of free combined or connected tissue transfers: introduction to the concept of bridge, siamese, chimeric, mosaic, and chain-circle flaps. Acta Med Okayama. 2001;55(6):329\u201332. \nhttps:\/\/doi.org\/10.18926\/AMO\/31999\n.","journal-title":"Acta Med Okayama."},{"issue":"2","key":"1863_CR28","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1016\/S0749-0712(21)00541-2","volume":"2","author":"EZ Browne","year":"1986","unstructured":"Browne EZ. Complications of skin grafts and pedicle flaps. Hand Clin. 1986;2(2):353\u20139.","journal-title":"Hand Clin."}],"container-title":["European Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40001-024-01863-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40001-024-01863-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40001-024-01863-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T01:02:02Z","timestamp":1715216522000},"score":1,"resource":{"primary":{"URL":"https:\/\/eurjmedres.biomedcentral.com\/articles\/10.1186\/s40001-024-01863-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,9]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1863"],"URL":"https:\/\/doi.org\/10.1186\/s40001-024-01863-y","relation":{},"ISSN":["2047-783X"],"issn-type":[{"value":"2047-783X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,9]]},"assertion":[{"value":"15 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 April 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from all subjects involved in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from all individual participants included in the study necessary.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"275"}}