{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:47:03Z","timestamp":1773881223157,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:00:00Z","timestamp":1716681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The pure skin perforator (PSP) flap is gaining popularity for its remarkable thinness. The subdermal dissection technique was recently introduced, allowing for a quicker elevation of a PSP flap. In this report, we present our two\u2010year experience utilizing subdermal dissection for harvesting PSP flaps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients who had undergone PSP flap reconstruction at our hospital from February 2021 to February 2023 were included. Demographic data, intraoperative variables, flap characteristics, and postoperative outcomes were collected. Surgical planning involved locating the perforator using ultrasound and harvesting the flap using the subdermal dissection technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 26 PSP flap reconstructions were conducted on 24 patients aged between 15 and 86\u2009years. The flaps were based on perforators issuing from the superficial circumflex iliac artery in 24 cases, and from the descending branch of the lateral circumflex femoral artery in 2 cases. Flap sizes ranged from 3\u2009\u00d7\u20091.5\u2009cm to 19\u2009\u00d7\u20096\u2009cm, with a mean thickness of 3.48\u2009mm. The average time for flap harvest was 131.92\u2009min. Postoperatively, we observed four cases of partial necrosis, 1 total flap loss, and 2 instances of vascular thrombosis at the anastomosis site. The flaps exhibited good pliability without contracture, and no debulking procedures were required during the follow\u2010up period (minimum 6\u2009months, range 6\u201324; mean 9.4615).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The subdermal dissection technique is a safe and efficient approach for elevating PSP flaps. Our initial experience with this technique has been encouraging, and it currently serves as our preferred reconstructive option for defects requiring thin reconstruction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.31189","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T06:59:45Z","timestamp":1716793185000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Subdermal dissection technique for pure skin <scp>SCIA<\/scp> and <scp>ALT<\/scp> perforator flaps in burns and trauma defects: Clinical experience"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8356-4234","authenticated-orcid":false,"given":"Zhan Q.","family":"Lin Wu","sequence":"first","affiliation":[{"name":"Departament of Plastic and Reconstructive Surgery Vall d'Hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Bulla","sequence":"additional","affiliation":[{"name":"Departament of Plastic and Reconstructive Surgery Vall d'Hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Aguilera S\u00e1ez","sequence":"additional","affiliation":[{"name":"Departament of Plastic and Reconstructive Surgery Vall d'Hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3268-6361","authenticated-orcid":false,"given":"Jordi","family":"Serracanta Dom\u00e8nech","sequence":"additional","affiliation":[{"name":"Departament of Plastic and Reconstructive Surgery Vall d'Hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan P.","family":"Barret","sequence":"additional","affiliation":[{"name":"Departament of Plastic and Reconstructive Surgery Vall d'Hebr\u00f3n University Hospital  Barcelona Spain"},{"name":"Department of Surgery School of Medicine, Universitat Aut\u00f3noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1137-289X","authenticated-orcid":false,"given":"Danilo A.","family":"Rivas Nicolls","sequence":"additional","affiliation":[{"name":"Departament of Plastic and Reconstructive Surgery Vall d'Hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2014.02.013"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000951"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1164-7-1"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002086"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2020.12.005"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1369807"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182503ac5"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2019.11.035"},{"key":"e_1_2_8_10_1","first-page":"9","volume-title":"Imaging for thinned perforator flap harvest: Current status and future perspectives","author":"Khoong Y. 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