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

Background and Objectives: 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. Materials and Methods:...

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Autores principales: Fuse, Yuma, Yoshimatsu, Hidehiko, Karakawa, Ryo, Yano, Tomoyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9145857/
https://www.ncbi.nlm.nih.gov/pubmed/35630087
http://dx.doi.org/10.3390/medicina58050670
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author Fuse, Yuma
Yoshimatsu, Hidehiko
Karakawa, Ryo
Yano, Tomoyuki
author_facet Fuse, Yuma
Yoshimatsu, Hidehiko
Karakawa, Ryo
Yano, Tomoyuki
author_sort Fuse, Yuma
collection PubMed
description Background and Objectives: 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. Materials and Methods: 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. Results: 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%, p = 0.32) and donor site complications (DFS: 2.4% versus Conventional: 1.3%, p = 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), p = 0.01). Conclusions: An SCIP flap can be reliably harvested using the Deep Fat Saving technique.
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spelling pubmed-91458572022-05-29 Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap Fuse, Yuma Yoshimatsu, Hidehiko Karakawa, Ryo Yano, Tomoyuki Medicina (Kaunas) Article Background and Objectives: 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. Materials and Methods: 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. Results: 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%, p = 0.32) and donor site complications (DFS: 2.4% versus Conventional: 1.3%, p = 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), p = 0.01). Conclusions: An SCIP flap can be reliably harvested using the Deep Fat Saving technique. MDPI 2022-05-18 /pmc/articles/PMC9145857/ /pubmed/35630087 http://dx.doi.org/10.3390/medicina58050670 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fuse, Yuma
Yoshimatsu, Hidehiko
Karakawa, Ryo
Yano, Tomoyuki
Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap
title Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap
title_full Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap
title_fullStr Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap
title_full_unstemmed Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap
title_short Deep Fat Saving Elevation of the Superficial Circumflex Iliac Artery Perforator Flap
title_sort deep fat saving elevation of the superficial circumflex iliac artery perforator flap
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9145857/
https://www.ncbi.nlm.nih.gov/pubmed/35630087
http://dx.doi.org/10.3390/medicina58050670
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