Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients
Background: The superficial circumflex iliac artery perforator (SCIP) flap is widely recognized for its reliability and minimal donor site morbidity in reconstructive surgery. However, its safety and efficacy in elderly patients—a growing demographic with increased comorbidities—remain less understo...
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MDPI AG
2025-04-01
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| author | Hongmin Luo Huining Bian Zuan Liu Chuanwei Sun Hanhua Li Lianghua Ma Xiaoyan Wang Zhifeng Huang Xu Mu Shenghua Chen Yuyang Han Lin Zhang Shaoyi Zheng Zeyang Yao Wen Lai |
| author_facet | Hongmin Luo Huining Bian Zuan Liu Chuanwei Sun Hanhua Li Lianghua Ma Xiaoyan Wang Zhifeng Huang Xu Mu Shenghua Chen Yuyang Han Lin Zhang Shaoyi Zheng Zeyang Yao Wen Lai |
| author_sort | Hongmin Luo |
| collection | DOAJ |
| description | Background: The superficial circumflex iliac artery perforator (SCIP) flap is widely recognized for its reliability and minimal donor site morbidity in reconstructive surgery. However, its safety and efficacy in elderly patients—a growing demographic with increased comorbidities—remain less understood. This study aims to evaluate the clinical outcomes of the SCIP flap in elderly patients compared to younger patients, focusing on flap survival, complications, and recovery. Methods: In this retrospective cohort study, conducted at Guangdong Provincial People’s Hospital, from 28 August 2019 to 7 June 2024, we included 37 patients who underwent SCIP flap procedures for reconstruction. Patients were divided into two groups: younger (15–59 years) and elderly (≥60 years). Key variables analyzed included demographics, comorbidities, flap characteristics, recipient sites, arterial sources, and surgical outcomes. Univariate analysis and ROC curve analysis were used to explore the impact of age on flap survival and complications. Results: The cohort consisted of 28 younger and 9 elderly patients. Vascular disease was significantly more prevalent in the elderly group (88.9% vs. 21.4%, <i>p</i> = 0.001), and abnormalities in the CTA results indicate that the elderly cohort exhibited a 29-fold increased odds of vascular disease compared to younger patients (OR = 29.17, 95% CI: 4.82–176.40, <i>p</i> = 0.001). However, no significant differences were found between the groups in terms of flap area, recipient sites, or arterial sources. Hospital stay duration and flap survival rates were comparable across both age groups, with no cases of total flap loss reported. While systemic complications were somewhat higher in the elderly group, this difference did not reach statistical significance. The ROC analysis (AUC = 0.52) indicates that age alone is not a significant predictor of flap survival. Conclusions: The SCIP flap is a safe and effective reconstructive option for elderly patients, despite a higher incidence of vascular disease. Flap survival and postoperative recovery were favorable, indicating that the procedure is viable for older patients. These findings support the continued use of SCIP flaps in aging populations, emphasizing the need for individualized surgical approaches to optimize patient outcomes. |
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| id | doaj-art-bf06a1a2a8e74942824a74b1b2f16fc7 |
| institution | OA Journals |
| issn | 2306-5354 |
| language | English |
| publishDate | 2025-04-01 |
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| series | Bioengineering |
| spelling | doaj-art-bf06a1a2a8e74942824a74b1b2f16fc72025-08-20T02:17:14ZengMDPI AGBioengineering2306-53542025-04-0112439410.3390/bioengineering12040394Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly PatientsHongmin Luo0Huining Bian1Zuan Liu2Chuanwei Sun3Hanhua Li4Lianghua Ma5Xiaoyan Wang6Zhifeng Huang7Xu Mu8Shenghua Chen9Yuyang Han10Lin Zhang11Shaoyi Zheng12Zeyang Yao13Wen Lai14Department of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaBackground: The superficial circumflex iliac artery perforator (SCIP) flap is widely recognized for its reliability and minimal donor site morbidity in reconstructive surgery. However, its safety and efficacy in elderly patients—a growing demographic with increased comorbidities—remain less understood. This study aims to evaluate the clinical outcomes of the SCIP flap in elderly patients compared to younger patients, focusing on flap survival, complications, and recovery. Methods: In this retrospective cohort study, conducted at Guangdong Provincial People’s Hospital, from 28 August 2019 to 7 June 2024, we included 37 patients who underwent SCIP flap procedures for reconstruction. Patients were divided into two groups: younger (15–59 years) and elderly (≥60 years). Key variables analyzed included demographics, comorbidities, flap characteristics, recipient sites, arterial sources, and surgical outcomes. Univariate analysis and ROC curve analysis were used to explore the impact of age on flap survival and complications. Results: The cohort consisted of 28 younger and 9 elderly patients. Vascular disease was significantly more prevalent in the elderly group (88.9% vs. 21.4%, <i>p</i> = 0.001), and abnormalities in the CTA results indicate that the elderly cohort exhibited a 29-fold increased odds of vascular disease compared to younger patients (OR = 29.17, 95% CI: 4.82–176.40, <i>p</i> = 0.001). However, no significant differences were found between the groups in terms of flap area, recipient sites, or arterial sources. Hospital stay duration and flap survival rates were comparable across both age groups, with no cases of total flap loss reported. While systemic complications were somewhat higher in the elderly group, this difference did not reach statistical significance. The ROC analysis (AUC = 0.52) indicates that age alone is not a significant predictor of flap survival. Conclusions: The SCIP flap is a safe and effective reconstructive option for elderly patients, despite a higher incidence of vascular disease. Flap survival and postoperative recovery were favorable, indicating that the procedure is viable for older patients. These findings support the continued use of SCIP flaps in aging populations, emphasizing the need for individualized surgical approaches to optimize patient outcomes.https://www.mdpi.com/2306-5354/12/4/394superficial circumflex iliac artery perforator flapreconstructive surgeryelderly patientsflap survivalaging populationelder patients |
| spellingShingle | Hongmin Luo Huining Bian Zuan Liu Chuanwei Sun Hanhua Li Lianghua Ma Xiaoyan Wang Zhifeng Huang Xu Mu Shenghua Chen Yuyang Han Lin Zhang Shaoyi Zheng Zeyang Yao Wen Lai Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients Bioengineering superficial circumflex iliac artery perforator flap reconstructive surgery elderly patients flap survival aging population elder patients |
| title | Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients |
| title_full | Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients |
| title_fullStr | Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients |
| title_full_unstemmed | Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients |
| title_short | Evaluation of Patient Benefits from the Superficial Circumflex Iliac Artery Perforator Flap in Elderly Patients |
| title_sort | evaluation of patient benefits from the superficial circumflex iliac artery perforator flap in elderly patients |
| topic | superficial circumflex iliac artery perforator flap reconstructive surgery elderly patients flap survival aging population elder patients |
| url | https://www.mdpi.com/2306-5354/12/4/394 |
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