{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T05:47:28Z","timestamp":1791697648969,"version":"4.3.4"},"reference-count":26,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100000736","name":"University of East Anglia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000736","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2021,10]]},"DOI":"10.1016\/j.bjps.2021.03.038","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T19:20:02Z","timestamp":1617132002000},"page":"2654-2663","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["The combined use of pedicled profunda artery perforator and bilateral gracilis flaps for pelvic reconstruction: A cohort study"],"prefix":"10.1016","volume":"74","author":[{"given":"Olivia","family":"Sharp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Kapur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irshad","family":"Shaikh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anais","family":"Rosich-Medina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Haywood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.bjps.2021.03.038_bib0001","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1111\/codi.12843","article-title":"Perineal hernia formation following extralevator abdominoperineal excision","volume":"17","author":"Sayers","year":"2015","journal-title":"Colorectal Dis"},{"issue":"3","key":"10.1016\/j.bjps.2021.03.038_bib0002","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1007\/s10350-004-0827-1","article-title":"Primary perineal wound closure after preoperative radiotherapy and abdominoperineal resection has a high incidence of wound failure","volume":"48","author":"Bullard","year":"2005","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"10.1016\/j.bjps.2021.03.038_bib0003","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/01.sap.0000099820.10065.2a","article-title":"Pelvic reconstruction using vertical rectus abdominis musculocutaneous flaps","volume":"52","author":"Buchel","year":"2004","journal-title":"Ann Plast Surg"},{"issue":"2","key":"10.1016\/j.bjps.2021.03.038_bib0004","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1245\/ASO.2005.03.100","article-title":"Rectus flap reconstruction decreases perineal wound complications after pelvic chemoradiation and surgery: a cohort study","volume":"12","author":"Chessin","year":"2005","journal-title":"Ann Surg Oncol"},{"issue":"2","key":"10.1016\/j.bjps.2021.03.038_bib0005","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.amjsurg.2005.05.009","article-title":"The use of tissue flaps as an adjunct to pelvic surgery","volume":"190","author":"Galandiuk","year":"2005","journal-title":"Am J Surg"},{"issue":"4","key":"10.1016\/j.bjps.2021.03.038_bib0006","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1016\/j.jamcollsurg.2007.12.007","article-title":"Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects","volume":"206","author":"Butler","year":"2008","journal-title":"J Am Coll Surg"},{"issue":"4","key":"10.1016\/j.bjps.2021.03.038_bib0007","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.jamcollsurg.2016.06.383","article-title":"Gracilis flap reconstruction of the Perineum: an outcomes analysis","volume":"223","author":"Singh","year":"2016","journal-title":"J Am Coll Surg"},{"issue":"5","key":"10.1016\/j.bjps.2021.03.038_bib0008","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1097\/PRS.0000000000002107","article-title":"Primary versus flap closure of perineal defects following oncologic resection: a systematic review and meta-analysis","volume":"137","author":"Devulapalli","year":"2016","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"10.1016\/j.bjps.2021.03.038_bib0009","first-page":"337","article-title":"The rectus abdominis flap for perineal wounds","volume":"66","author":"Shukla","year":"1984","journal-title":"Ann R Coll Surg Engl"},{"issue":"12","key":"10.1016\/j.bjps.2021.03.038_bib0010","doi-asserted-by":"crossref","first-page":"e2572","DOI":"10.1097\/GOX.0000000000002572","article-title":"An Algorithmic approach to perineal reconstruction","volume":"7","author":"Westbom","year":"2019","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"2","key":"10.1016\/j.bjps.2021.03.038_bib0011","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1097\/00006534-197608000-00006","article-title":"Vaginal reconstruction with gracilis myocutaneous flaps","volume":"58","author":"McCraw","year":"1976","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"10.1016\/j.bjps.2021.03.038_bib0012","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/SLA.0b013e31817d077d","article-title":"Gracilis muscle interposition for the treatment of rectourethral, rectovaginal, and pouch-vaginal fistulas: results in 53 patients","volume":"248","author":"Wexner","year":"2008","journal-title":"Ann Surg"},{"issue":"12","key":"10.1016\/j.bjps.2021.03.038_bib0013","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1111\/codi.13933","article-title":"Pelvic floor reconstruction with bilateral gracilis flaps following extralevator abdominoperineal excision - a video vignette","volume":"19","author":"Jones","year":"2017","journal-title":"Colorectal Dis"},{"issue":"3","key":"10.1016\/j.bjps.2021.03.038_bib0014","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.bjps.2015.10.044","article-title":"Transabdominal-pelvic-perineal (TAPP) anterolateral thigh flap: a new reconstructive technique for complex defects following extended abdominoperineal resection","volume":"69","author":"di Summa","year":"2016","journal-title":"Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS"},{"key":"10.1016\/j.bjps.2021.03.038_bib0015","unstructured":"H. Gillies R.M. The principles and art of plastic surgery.Butterworth; 1957."},{"issue":"4","key":"10.1016\/j.bjps.2021.03.038_bib0016","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.bjps.2015.11.019","article-title":"Pelvic-perineal reconstruction with the combined transverse upper gracilis and profunda artery perforator (TUG-PAP) flap","volume":"69","author":"Ciudad","year":"2016","journal-title":"Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS"},{"issue":"4","key":"10.1016\/j.bjps.2021.03.038_bib0017","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1002\/micr.30413","article-title":"Expanding the applications of the combined Transverse Upper Gracilis And Profunda Artery Perforator (TUGPAP) flap for extensive defects","volume":"39","author":"Ciudad","year":"2019","journal-title":"Microsurgery"},{"issue":"4","key":"10.1016\/j.bjps.2021.03.038_bib0018","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE)statement: guidelines for reporting observational studies","volume":"61","author":"von Elm E","year":"2008","journal-title":"J Clin Epidemiol"},{"issue":"5","key":"10.1016\/j.bjps.2021.03.038_bib0019","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/00000637-198205000-00004","article-title":"Closure of chronic wounds of the perineal and sacral regions using the gluteal thigh flap","volume":"8","author":"Hurwitz","year":"1982","journal-title":"Ann Plast Surg"},{"issue":"1","key":"10.1016\/j.bjps.2021.03.038_bib0020","doi-asserted-by":"crossref","first-page":"16e","DOI":"10.1097\/PRS.0b013e3182363d9f","article-title":"Breast reconstruction with the profunda artery perforator flap","volume":"129","author":"Allen","year":"2012","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"10.1016\/j.bjps.2021.03.038_bib0021","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1080\/01443615.2017.1363169","article-title":"Use of the profunda artery perforator flap in vulvo-perineal reconstruction","volume":"38","author":"Jing","year":"2018","journal-title":"J Obstetr Gynaecol: J Inst Obstetr Gynaecol"},{"issue":"8","key":"10.1016\/j.bjps.2021.03.038_bib0022","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1002\/micr.22498","article-title":"Profunda artery perforator based V-Y rotation advancement flap for total vulvectomy defect reconstruction-a case report and literature review","volume":"35","author":"Chen","year":"2015","journal-title":"Microsurgery"},{"issue":"7","key":"10.1016\/j.bjps.2021.03.038_bib0023","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1002\/jso.24233","article-title":"Profunda artery perforator flap for isolated vulvar defect reconstruction after oncological resection","volume":"113","author":"Chang","year":"2016","journal-title":"J Surg Oncol"},{"issue":"7","key":"10.1016\/j.bjps.2021.03.038_bib0024","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1002\/micr.30002","article-title":"Profunda artery perforator flap for perineal reconstruction: a new indication","volume":"36","author":"Kosutic","year":"2016","journal-title":"Microsurgery"},{"key":"10.1016\/j.bjps.2021.03.038_bib0025","doi-asserted-by":"crossref","DOI":"10.1080\/23320885.2019.1583568","article-title":"Reconstruction of critically-sized perineal defect with perforator flap puzzle technique: a case report","author":"Kosutic","year":"2019","journal-title":"Case Rep Plast Surg Hand Surg"},{"issue":"6","key":"10.1016\/j.bjps.2021.03.038_bib0026","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1093\/humrep\/del022","article-title":"Baseline dimensions of the human vagina","volume":"21","author":"Barnhart","year":"2006","journal-title":"Hum Reprod"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681521001285?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681521001285?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T20:45:30Z","timestamp":1761684330000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681521001285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":26,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["S1748681521001285"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2021.03.038","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The combined use of pedicled profunda artery perforator and bilateral gracilis flaps for pelvic reconstruction: A cohort study","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2021.03.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}