{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T02:53:53Z","timestamp":1764212033003,"version":"3.37.3"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,10,3]],"date-time":"2017-10-03T00:00:00Z","timestamp":1506988800000},"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":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The deep inferior epigastric perforator (DIEP) flap is one of the most commonly utilized flaps of reconstructive surgery. Although the horizontal flap design is the most commonly used, this flap can be vertically designed to avoid drawbacks such as excessive tissue dissection, relatively reduced flap perfusion, and scarification of the contralateral flap opportunity. The aim of this report is to present our case series for foot and ankle reconstruction with vertical designed DIEP flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>The free vertically designed DIEP flaps (VDIEP) were used in eight patients (7 male, 1 female) whose age is in a range of 20\u201366 years for soft tissue reconstructions in the ankle and foot region over a five\u2010year period. The range of defects\u2019 size was from 8 \u00d7 5 cm to 15 \u00d7 7 cm and the causes were electrical burn, trauma and diabetic foot infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Flap dimensions varied from 10 \u00d7 6 cm to 17 \u00d7 9 cm. All the flaps had two or more perforators, and all flaps survived completely. There were no early or late complications. We followed up the patients for 10 months in average. We observed no functional problems, especially in main motions of foot and ankle like eversion, inversion, flexion or extension except one patient. Donor site scars were acceptable in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The VDIEP flap may be an option for selected lower extremity soft tissue reconstructions, and it may be an alternative to classically designed abdominal flaps.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30250","type":"journal-article","created":{"date-parts":[[2017,10,3]],"date-time":"2017-10-03T10:32:39Z","timestamp":1507026759000},"page":"369-374","source":"Crossref","is-referenced-by-count":16,"title":["Foot and ankle reconstruction with vertically designed deep inferior epigastric perforator flap"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9347-5192","authenticated-orcid":false,"given":"Osman","family":"Akdag","sequence":"first","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Selcuk University Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehtap","family":"Karamese","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Selcuk University Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gokce Unal","family":"Y\u0131ld\u0131ran","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Selcuk University Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Sutcu","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Medipol University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zekeriya","family":"Tosun","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Selcuk University Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181e5f844"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000096447.93223.bf"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1998.3033"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182131caf"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200105000-00003"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(89)90075-1"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1054\/bjps.1997.0053","article-title":"Deep inferior epigastric artery (DIEA) skin flap: clinical experience of 15 cases","volume":"51","author":"Kostako\u011flu N.","year":"1998","journal-title":"British Journal of Plastic Surgery"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-017-5876-5"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20949"},{"key":"e_1_2_6_11_1","first-page":"2198","article-title":"Why there are two rows of deep inferior epigastric artery perforators despite variability in the number of deep inferior epigastric artery trunks: an anatomical and embryological argument","volume":"127","author":"Rozen W. 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