{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T18:10:11Z","timestamp":1788718211941,"version":"build-2803163510"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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 & Aesthetic Surgery"],"published-print":{"date-parts":[[2025,5]]},"DOI":"10.1016\/j.bjps.2025.02.019","type":"journal-article","created":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T11:24:49Z","timestamp":1739791489000},"page":"57-66","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Inframammary extended circumflex scapular (IMECS) flap for axillary hidradenitis suppurativa: Advantages over conventional alternatives"],"prefix":"10.1016","volume":"104","author":[{"given":"G.","family":"Ibarra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Rivera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Fernandez-Ibarburu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Capdevila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Ciudad-Blanco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Garcia-Ruano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2025.02.019_bib1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1056\/NEJMcp1014163","article-title":"Hidradenitis suppurativa","volume":"366","author":"Jemec","year":"2012","journal-title":"N Engl J Med"},{"key":"10.1016\/j.bjps.2025.02.019_bib2","doi-asserted-by":"crossref","first-page":"2019","DOI":"10.1001\/jama.2017.16691","article-title":"Hidradenitis suppurativa advances in diagnosis and treatment","volume":"318","author":"Saunte","year":"2017","journal-title":"J Am Med Assoc"},{"key":"10.1016\/j.bjps.2025.02.019_bib3","series-title":"Roenigk\u2019s Dermatologic Surgery: Current Technique in Procedural Dermatology","first-page":"443","article-title":"Vault Disorders. Hidradenitis suppurativa","author":"Hurley","year":"2007"},{"key":"10.1016\/j.bjps.2025.02.019_bib4","doi-asserted-by":"crossref","first-page":"2137","DOI":"10.1111\/jdv.15710","article-title":"Ultrasound as a diagnostic and management tool in hidradenitis suppurativa patients: a multicentre study","volume":"33","author":"Martorell","year":"2019","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"10.1016\/j.bjps.2025.02.019_bib5","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/j.bjps.2015.12.004","article-title":"Wide excision and healing by secondary intent for the surgical treatment of hidradenitis suppurativa: a single-center experience","volume":"69","author":"Humphries","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib6","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1097\/SAP.0b013e3181f77bd6","article-title":"Management of regional hidradenitis suppurativa with vacuum-assisted closure and split thickness skin grafts","volume":"67","author":"Chen","year":"2011","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib7","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/0007-1226(82)90040-6","article-title":"Fasciocutaneous flaps in the axillary region","volume":"35","author":"Tolhurst","year":"1982","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib8","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.bjps.2015.03.002","article-title":"The versatility of the islanded posterior arm flap for regional reconstruction around the axilla","volume":"68","author":"Schmidt","year":"2015","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib9","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1097\/SAP.0b013e3181da1c4f","article-title":"Treatment of axillary hidradenitis with transposition flaps","volume":"64","author":"Varkarakis","year":"2010","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib10","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/00006534-199701000-00010","article-title":"The inframammary extended circumflex scapular flap; an aesthetic improvement of the paraescapular flap","volume":"99","author":"Siebert","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib11","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1080\/0284431051006466","article-title":"Oblique scapular flap","volume":"40","author":"Karacalar","year":"2006","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib12","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.jss.2018.04.007","article-title":"Surgical management of hidradenitis suppurativa: procedural trends and risk factors","volume":"229","author":"Ruan","year":"2018","journal-title":"J Surg Res"},{"key":"10.1016\/j.bjps.2025.02.019_bib13","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1054\/bjps.1999.3285","article-title":"Chronic axillary hidradenitis \u2013 the efficacy of wide excision and flap coverage","volume":"53","author":"Soldin","year":"2000","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib14","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s00238-005-0784-5","article-title":"A two-stage technique using a bovine dermal substitute to treat axillary hidradenitis","volume":"28","author":"Iida","year":"2005","journal-title":"Eur J Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib15","first-page":"1118","article-title":"Surgical treatment of severe hidradenitis suppurativa of the axilla: thoracodorsal artery perforator (TDAP) flap versus split skin graft","volume":"67","author":"Wormald","year":"2014","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib16","doi-asserted-by":"crossref","first-page":"228","DOI":"10.5999\/aps.2017.44.3.228","article-title":"Axillary reconstruction for hidradenitis suppurativa with an inner-arm transposition flap creating a brachioplasty effect","volume":"44","author":"Ching","year":"2017","journal-title":"Arch Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib17","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1097\/SAP.0000000000000307","article-title":"Island thoracodorsal artery perforator-based V-Y advancement flap after radical excision of axillary hidradenitis","volume":"74","author":"Mehrotra","year":"2015","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib18","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1097\/SAP.0b013e31824b3e42","article-title":"Island thoracodorsal artery perforator Y based V-Y advancement flap after radical excision of axillary hidradenitis","volume":"71","author":"Hallock","year":"2013","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib19","doi-asserted-by":"crossref","first-page":"18","DOI":"10.4103\/0970-0358.26898","article-title":"Reconstruction in extensive axillary hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps","volume":"39","author":"Sharma","year":"2006","journal-title":"Indian J Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib20","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/BF02390322","article-title":"A new approach in axillary hidradenitis treatment: the scapular island flap","volume":"20","author":"Amarante","year":"1996","journal-title":"Aesthetic Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib21","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/0007-1226(82)90076-5","article-title":"The scapular flap-an anatomical and clinical study","volume":"35","author":"Mayou","year":"1982","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib22","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1016\/j.bjps.2006.10.002","article-title":"The thin circumflex scapular artery perforator flap","volume":"60","author":"Dabernig","year":"2007","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib23","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1097\/SAP.0b013e3181b0bad1","article-title":"The anatomic and radiologic basis of the circumflex scapular artery perforator flap","volume":"64","author":"Dabernig","year":"2010","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib24","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1097\/SAP.0000000000001664","article-title":"Pedicled thoracodorsal artery perforator and muscle-sparing latissimus dorsi flaps in the axillary reconstruction after functional and aesthetic issues","volume":"81","author":"Marchesi","year":"2018","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib25","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1097\/SAP.0b013e31824b3d4a","article-title":"Thoracodorsal artery perforator flaps and muscle-sparing latissimus dorsi myocutaneous flaps for the treatment of axillary hidradenitis","volume":"69","author":"Jandali","year":"2012","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib26","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1097\/SAP.0000000000001658","article-title":"Outcome of pedicled thoracodorsal artery perforator flap in the surgical treatment of stage II and III hidradenitis suppurativa of axilla","volume":"81","author":"Elgohary","year":"2018","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib27","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1054\/bjps.2000.3443","article-title":"The lateral thoracic fasciocutaneous island flap for treatment of recurrent hidradenitis axillaris suppurativa and other axillary skin defects","volume":"53","author":"Schwabegger","year":"2000","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib28","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.bjps.2007.10.051","article-title":"Discussion of \u2018Transverse thoracodorsal artery perforator flaps: experience with 31 free flaps","volume":"61","author":"Chiu","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib29","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1016\/j.bjps.2008.03.070","article-title":"The inframammary extending lateral intercostal artery perforator flap for reconstruction of axillary contractures: a case report","volume":"61","author":"Stillaert","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.02.019_bib30","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1097\/PRS.0b013e318199f03b","article-title":"Reliability of vascular territory for a circumflex scapular artery-based flap","volume":"123","author":"Hwang","year":"2009","journal-title":"Plast Reconstr Surg"}],"container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525001275?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525001275?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T19:36:54Z","timestamp":1760643414000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681525001275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":30,"alternative-id":["S1748681525001275"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2025.02.019","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Inframammary extended circumflex scapular (IMECS) flap for axillary hidradenitis suppurativa: Advantages over conventional alternatives","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.2025.02.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}