{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T09:37:46Z","timestamp":1772012266626,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,8,24]],"date-time":"2011-08-24T00:00:00Z","timestamp":1314144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study reviewed our experience with the gracilis myocutaneous (GMC) flap, potential risk factors for flap necrosis, and long\u2010term morbidity at the donor\u2010site. From 1993 to 2002, 29 GMC flaps were harvested from 27 patients (pedicled <jats:italic>n<\/jats:italic> = 21 and free <jats:italic>n<\/jats:italic> = 8). The overall incidence of flap necrosis was 13.79% (partial (<jats:italic>n<\/jats:italic> = 2) and total (<jats:italic>n<\/jats:italic> = 2) necrosis). Flap necrosis was correlated with body mass index &gt;25 (<jats:italic>P<\/jats:italic> = 0.022), with smoking (<jats:italic>P<\/jats:italic> = 0.04 9) and with radiation therapy at the recipient site (<jats:italic>P<\/jats:italic> = 0.020). The long\u2010term morbidity at the donor\u2010site was low, except for scar appearance (17.24%), thigh contour deformity (58.62%), and hypoesthesia (17.24%). Significant age and gender differences were seen for ranking of scar ugliness, with females (<jats:italic>P<\/jats:italic> = 0.0061) and younger patients (age \u226455) (<jats:italic>P<\/jats:italic> = 0.046) assigned higher values. Significant age differences were seen for ranking of thigh contour deformity, with younger patients assigned higher values (<jats:italic>P<\/jats:italic> = 0.0012). In conclusion, patient overweight, smoking, and previous radiation therapy at the recipient site may be the \u201cpotential risk factors\u201d for flap necrosis. The long\u2010term morbidity at the donor\u2010site was low, which was in agreement with previous reported studies. A larger series would be the subject of a future study. \u00a9 2011 Wiley\u2010Liss, Inc. Microsurgery, 2011.<\/jats:p>","DOI":"10.1002\/micr.20899","type":"journal-article","created":{"date-parts":[[2011,8,31]],"date-time":"2011-08-31T23:51:06Z","timestamp":1314834666000},"page":"448-453","source":"Crossref","is-referenced-by-count":28,"title":["Gracilis myocutaneous flap: Evaluation of potential risk factors and long\u2010term donor\u2010site morbidity"],"prefix":"10.1002","volume":"31","author":[{"given":"Othon","family":"Papadopoulos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petros","family":"Konofaos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panos","family":"Georgiou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chrisostomos","family":"Chrisostomidis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zacharias","family":"Tsantoulas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Karypidis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alkiviadis","family":"Kostakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,24]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(72)80029-8"},{"key":"e_1_2_7_3_2","first-page":"349","article-title":"Gracilis muscle transplant for rectal incontinence","volume":"40","author":"Pickrell K","year":"1956","journal-title":"Surgery"},{"key":"e_1_2_7_4_2","first-page":"713","article-title":"The gracilis myocutaneous flap for persistent perineal sinus after proctocolectomy","volume":"153","author":"Baek SM","year":"1981","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_7_5_2","first-page":"318","article-title":"Vaginal reconstruction performed simultaneously with pelvic exenteration","volume":"63","author":"Berek JS","year":"1984","journal-title":"Obstet Gynecol"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2003.10.007"},{"key":"e_1_2_7_7_2","first-page":"274","article-title":"Reconstruction of plantar heel defects with free gracilis musculocutaneous flap","volume":"33","author":"Tamura A","year":"1994","journal-title":"J Foot Ankle Surg"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2001.3607"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000097295.23406.9D"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199705000-00026"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197608000-00006"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198601000-00001"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01627695"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199212000-00002"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000060114.95065.C5"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-70329-4"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920160904"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199506000-00015"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)60337-1"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2007.00784.x"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(88)90357-2"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(89)90168-3"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.20899","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.20899","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T05:26:57Z","timestamp":1700544417000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.20899"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,24]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1002\/micr.20899"],"URL":"https:\/\/doi.org\/10.1002\/micr.20899","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,24]]}}}