{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T13:45:30Z","timestamp":1764423930517,"version":"3.46.0"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Breast reconstruction using an abdominal flap in patients with scarring on the upper abdomen is challenging. We present herein a new approach to two\u2010stage breast reconstruction using a low\u2010design bilateral conjoined superficial inferior epigastric artery (SIEA) flap in a 48\u2010year\u2010old woman with breast cancer and a Mercedes\u2010Benz abdominal scar. The 30\u2009\u00d7\u20098\u2009cm\n                    <jats:sup>2<\/jats:sup>\n                    abdominal flap was designed more inferior than the conventional deep inferior epigastric artery perforator (DIEP) flap, excluding the umbilicus and widening the width between the transverse scar of the Mercedes\u2010Benz incision and the cephalad incision line of the flap. This modification preserved the paraumbilical DIEPs within the upper abdominal skin of the donor site while the abdominal flap was harvested with the bilateral superficial inferior epigastric arteries as the main vascular pedicles. The left and right vascular pedicles were then anastomosed to the proximal and distal ends of the internal mammary vessels, respectively. The flap survived completely after surgery and the donor site healed without any major complications. 6\u2009months after surgery, the reconstructed breast was slightly smaller than its counterpart, although it maintained good shape. The low\u2010flap design in this case contributed to the prevention of donor\u2010site complications, and the use of a bilateral conjoined SIEA flap allowed for the transfer of the entire abdominal pannus without compromising the strength of the abdominal wall. The case reported herein shows that this technique can be a viable reconstructive option for patients with a history of scarring on the upper abdomen.\n                  <\/jats:p>","DOI":"10.1002\/micr.70037","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T06:15:08Z","timestamp":1739427308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Breast Reconstruction With Low\u2010Design Bilateral Conjoined Superficial Inferior Epigastric Artery Flap due to Abdominal Mercedes\u2010Benz Incision Scar: A Case Report"],"prefix":"10.1002","volume":"45","author":[{"given":"Hakuba","family":"Takeishi","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Graduate School of Medicine University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4367-6927","authenticated-orcid":false,"given":"Shimpei","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Graduate School of Medicine University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daichi","family":"Kurita","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Graduate School of Medicine University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiko","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Breast and Endocrine Surgery, Graduate School of Medicine University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mutsumi","family":"Okazaki","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Graduate School of Medicine University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001867"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010672020180001e1389"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2006.01.004"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.10.047"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100033\u20101357272"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31818a9a3f"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2019.11.028"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637\u2010200208000\u201000001"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2015.00049"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100034\u20101390165"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010021\u201002087\u2010y"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534\u2010199703000\u201000018"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T13:44:16Z","timestamp":1764423856000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.70037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/micr.70037"],"URL":"https:\/\/doi.org\/10.1002\/micr.70037","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"type":"print","value":"0738-1085"},{"type":"electronic","value":"1098-2752"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"2024-06-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70037"}}