Posttraumatic Scrotal Reconstruction with a Pedicled “Extended” Superficial Circumflex Iliac Artery Perforator Flap: A Case Report

Abstract

The superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been used for scrotal reconstruction after Fournier's gangrene, skin cancer, or infections. However, there are few publications with regard to penoscrotal reconstruction after a traumatic injury with this flap. In this article, we propose a new SCIP flap variation, the “extended” or “direct” SCIP flap, to effectively reconstruct a wide scrotal defect after a traumatic injury. The “extended” SCIP flap is designed medial and cranial to the anterosuperior iliac spine (ASIS) using the superficial branch of the SCIA as the main pedicle.

Keywords

penoscrotal reconstruction - SCIP flap - pedicled flap

Authors' Contributions

L.S.H.: wrote and edited the manuscript for clarity and compliance with journal guidelines.

Susana: Primary physician responsible for diagnosing and treating the patient.

C.V.G.: contributed to critical case analysis and manuscript review.

P.D.Z.A.: contributed to critical case analysis and manuscript review.

L.T.R: contributed to critical case analysis and manuscript review.

M.F.G.: provided expert guidance on diagnosis and treatment, reviewed the case report for clinical accuracy and conceived the case report idea.

Patient Consent

Informed consent was obtained from all individual participants included in the study. The participant has consented to the submission of the case report to the journal.

Ethical Approval

Approval was obtained from the ethics committee of University “Universitat Autònoma de Barcelona (Hospital de la Santa Creu i Sant Pau)”. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

Publication History

Received: 14 January 2023

Accepted: 01 September 2023

Accepted Manuscript online:
05 September 2023

Article published online:
09 May 2024

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