纯 SCIV 与纯 VC 导管：对于多瓣和嵌合 SCIAP 瓣而言，哪种方法最佳？

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-10-29 DOI:10.1016/j.bjps.2024.10.039

Tinggang Chu , Jinlong Huang , Zengming Zheng , Jun Zhang , Kailiang Zhou , Yixin Zhang , Weiyang Gao , Jian Xiao

{"title":"纯 SCIV 与纯 VC 导管：对于多瓣和嵌合 SCIAP 瓣而言，哪种方法最佳？","authors":"Tinggang Chu , Jinlong Huang , Zengming Zheng , Jun Zhang , Kailiang Zhou , Yixin Zhang , Weiyang Gao , Jian Xiao","doi":"10.1016/j.bjps.2024.10.039","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Superficial circumflex iliac vein (SCIV) and venae comitantes were qualified for traditional superficial circumflex iliac artery perforator (SCIAP) flaps. Optimal approaches for multipaddle and chimeric SCIAP flaps remain elusive. The purpose of this study is to investigate validities of SCIV-only and VCs-only conduits for such extended SCIAP flaps.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted from August 2015 to July 2023 at the author’s institution. All patients who underwent multipaddle and chimeric SCIAP flaps with complete follow-up information were involved. The multipaddle SCIAP flaps included 2, 3, and 4-paddle variations, while the chimeric series involved cutaneous-iliac and cutaneous-sartorius SCIAP flaps. A comparison was made between the primary outcomes of the SCIV-only group and the VCs-only group in terms of the proportion of these variations and complications, as well as operation duration, and wound healing time.</div></div><div><h3>Results</h3><div>Of 195 patients, the VCs-only conduit accounts for 85.6% (n = 167) and the SCIV-only approach accounts for 14.4% (n = 28). In the SCIV-only group, 89.3% were performed for 2-paddle flaps. In the VCs-only group, 167 flaps were drained by this approach, including 43 (25.8%) cases of 2-paddle flaps, 38 (22.8%) cases of 3-paddle flaps, 22 (13.2%) cases of 4-paddle flaps, 36 (21.6%) cases of cutaneous-iliac flaps, and 28 (16.8%) cases of cutaneous-sartorius flaps. The utilization rate of the VCs-only conduit was 63.2% in 2-paddle flaps, 92.7% in 3-paddle flaps, and 100% in 4-paddle and chimeric SCIAP flaps.</div></div><div><h3>Conclusion</h3><div>This study stands in support of VCs-only drainage for multipaddle and chimeric SCIAP flaps due to its effective drainage capacity of suprafascial and subfascial tissues.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 1-7"},"PeriodicalIF":2.0000,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"SCIV-only versus VCs-only conduit: Which is optimal for multipaddle and chimeric SCIAP flaps?\",\"authors\":\"Tinggang Chu , Jinlong Huang , Zengming Zheng , Jun Zhang , Kailiang Zhou , Yixin Zhang , Weiyang Gao , Jian Xiao\",\"doi\":\"10.1016/j.bjps.2024.10.039\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Superficial circumflex iliac vein (SCIV) and venae comitantes were qualified for traditional superficial circumflex iliac artery perforator (SCIAP) flaps. Optimal approaches for multipaddle and chimeric SCIAP flaps remain elusive. The purpose of this study is to investigate validities of SCIV-only and VCs-only conduits for such extended SCIAP flaps.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted from August 2015 to July 2023 at the author’s institution. All patients who underwent multipaddle and chimeric SCIAP flaps with complete follow-up information were involved. The multipaddle SCIAP flaps included 2, 3, and 4-paddle variations, while the chimeric series involved cutaneous-iliac and cutaneous-sartorius SCIAP flaps. A comparison was made between the primary outcomes of the SCIV-only group and the VCs-only group in terms of the proportion of these variations and complications, as well as operation duration, and wound healing time.</div></div><div><h3>Results</h3><div>Of 195 patients, the VCs-only conduit accounts for 85.6% (n = 167) and the SCIV-only approach accounts for 14.4% (n = 28). In the SCIV-only group, 89.3% were performed for 2-paddle flaps. In the VCs-only group, 167 flaps were drained by this approach, including 43 (25.8%) cases of 2-paddle flaps, 38 (22.8%) cases of 3-paddle flaps, 22 (13.2%) cases of 4-paddle flaps, 36 (21.6%) cases of cutaneous-iliac flaps, and 28 (16.8%) cases of cutaneous-sartorius flaps. The utilization rate of the VCs-only conduit was 63.2% in 2-paddle flaps, 92.7% in 3-paddle flaps, and 100% in 4-paddle and chimeric SCIAP flaps.</div></div><div><h3>Conclusion</h3><div>This study stands in support of VCs-only drainage for multipaddle and chimeric SCIAP flaps due to its effective drainage capacity of suprafascial and subfascial tissues.</div></div>\",\"PeriodicalId\":50084,\"journal\":{\"name\":\"Journal of Plastic Reconstructive and Aesthetic Surgery\",\"volume\":\"100 \",\"pages\":\"Pages 1-7\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-10-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Plastic Reconstructive and Aesthetic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1748681524006880\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Plastic Reconstructive and Aesthetic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1748681524006880","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

摘要

背景：髂浅周静脉（SCIV）和会阴静脉符合传统髂浅周动脉穿孔带（SCIAP）皮瓣的要求。多瓣和嵌合 SCIAP 皮瓣的最佳方法仍未确定。本研究的目的是探讨纯 SCIV 和纯 VC 导管在此类扩展 SCIAP 皮瓣中的有效性：作者所在机构于 2015 年 8 月至 2023 年 7 月进行了一项回顾性研究。所有接受了多鞍SCIAP皮瓣和嵌合SCIAP皮瓣且随访信息完整的患者都参与了研究。多鞍区SCIAP皮瓣包括2、3和4鞍区，而嵌合系列包括皮-髂和皮-腓肠肌SCIAP皮瓣。我们比较了纯 SCIV 组和纯 VCs 组在这些变异的比例、并发症、手术时间和伤口愈合时间方面的主要结果：在 195 名患者中，纯 VC 导管占 85.6%（167 人），纯 SCIV 方法占 14.4%（28 人）。在纯 SCIV 组中，89.3% 的患者接受了双桨皮瓣手术。在纯VC组中，有167个皮瓣采用了这种方法，包括43个（25.8%）2桨皮瓣、38个（22.8%）3桨皮瓣、22个（13.2%）4桨皮瓣、36个（21.6%）皮肤-髂骨皮瓣和28个（16.8%）皮肤-腓肠肌皮瓣。在双桨皮瓣中，仅VC导管的使用率为63.2%，在三桨皮瓣中为92.7%，在四桨皮瓣和嵌合SCIAP皮瓣中为100%：结论：这项研究支持在多桨皮瓣和嵌合 SCIAP 皮瓣中使用纯 VC 引流，因为它能有效引流筋膜上和筋膜下组织。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

SCIV-only versus VCs-only conduit: Which is optimal for multipaddle and chimeric SCIAP flaps?

Background

Superficial circumflex iliac vein (SCIV) and venae comitantes were qualified for traditional superficial circumflex iliac artery perforator (SCIAP) flaps. Optimal approaches for multipaddle and chimeric SCIAP flaps remain elusive. The purpose of this study is to investigate validities of SCIV-only and VCs-only conduits for such extended SCIAP flaps.

Methods

A retrospective study was conducted from August 2015 to July 2023 at the author’s institution. All patients who underwent multipaddle and chimeric SCIAP flaps with complete follow-up information were involved. The multipaddle SCIAP flaps included 2, 3, and 4-paddle variations, while the chimeric series involved cutaneous-iliac and cutaneous-sartorius SCIAP flaps. A comparison was made between the primary outcomes of the SCIV-only group and the VCs-only group in terms of the proportion of these variations and complications, as well as operation duration, and wound healing time.

Results

Of 195 patients, the VCs-only conduit accounts for 85.6% (n = 167) and the SCIV-only approach accounts for 14.4% (n = 28). In the SCIV-only group, 89.3% were performed for 2-paddle flaps. In the VCs-only group, 167 flaps were drained by this approach, including 43 (25.8%) cases of 2-paddle flaps, 38 (22.8%) cases of 3-paddle flaps, 22 (13.2%) cases of 4-paddle flaps, 36 (21.6%) cases of cutaneous-iliac flaps, and 28 (16.8%) cases of cutaneous-sartorius flaps. The utilization rate of the VCs-only conduit was 63.2% in 2-paddle flaps, 92.7% in 3-paddle flaps, and 100% in 4-paddle and chimeric SCIAP flaps.

Conclusion

This study stands in support of VCs-only drainage for multipaddle and chimeric SCIAP flaps due to its effective drainage capacity of suprafascial and subfascial tissues.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.