With its minimal donor site morbidity and capability to include the bone flap, the SCIP flap can be considered an optimal reconstruction option in many settings. However, complicated anatomy, short pedicle, and size-limitation of the skin paddle have precluded the wide use of the SCIP flap.

In this presentation, we will discuss the anatomy and use of the superficial branch and the deep branch of the SCIA as the pedicle of the SCIP flap. We will introduce a method that can cover very large defects, up to 20 x 20 cm, by combining the SCIP flap with the SIEA flap. Our experience with the use of the SCIP flap after sarcoma resection will also be elaborated.

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