{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T08:03:33Z","timestamp":1780041813732,"version":"3.53.1"},"reference-count":15,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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 &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.bjps.2026.04.007","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T07:47:46Z","timestamp":1776066466000},"page":"166-174","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Modified Clavien\u2013Dindo Classification with scoring: A retrospective cohort study benchmarking morbidity in autologous breast reconstruction"],"prefix":"10.1016","volume":"117","author":[{"given":"Sarah A.","family":"Williams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siri B.","family":"Gowda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam V.","family":"Blackburn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2026.04.007_bib1","unstructured":"Lifetime risk estimates calculated by the Cancer Intelligence Team at Cancer Research UK; 2023. \u3008https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/breast-cancer\/risk-factors#heading-Zero\u3009."},{"issue":"2","key":"10.1016\/j.bjps.2026.04.007_bib2","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"10.1016\/j.bjps.2026.04.007_bib3","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.bjps.2024.05.008","article-title":"Modified Clavien-Dindo classification for microsurgical breast reconstruction","volume":"94","author":"Gowda","year":"2024","journal-title":"J Plast Reconstr Aesthet\u00a0Surg"},{"issue":"10","key":"10.1016\/j.bjps.2026.04.007_bib4","first-page":"6","article-title":"Unplanned returns to theatres in emergency general surgery; what can be improved?","volume":"110","author":"Salam","year":"2023","journal-title":"Br J Surg"},{"issue":"2","key":"10.1016\/j.bjps.2026.04.007_bib5","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.ejogrb.2011.03.019","article-title":"Unplanned return to the operating theatre in gynaecology: five years\u2019 experience","volume":"157","author":"Mahfouz","year":"2011","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"2","key":"10.1016\/j.bjps.2026.04.007_bib6","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.bjps.2013.10.024","article-title":"The increased risk of adverse outcomes in bilateral deep inferior epigastric artery perforator flap breast reconstruction compared to unilateral reconstruction: a systematic review and meta-analysis","volume":"67","author":"Wormald","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2026.04.007_bib7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.bjps.2024.02.059","article-title":"Secondary solution for breast reconstruction following total DIEP flap loss: a single-center experience after 3270 DIEP flaps","volume":"92","author":"Musmann","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"5","key":"10.1016\/j.bjps.2026.04.007_bib8","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.3390\/jcm10051016","article-title":"Overall complication rates of DIEP flap breast reconstructions in Germany-a multi-center analysis based on the DGPR\u00c4C prospective national online registry for microsurgical breast reconstructions","volume":"10","author":"Heidekrueger","year":"2021","journal-title":"J Clin Med"},{"key":"10.1016\/j.bjps.2026.04.007_bib9","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.bjps.2025.02.033","article-title":"Postoperative complications following breast reconstruction with the DIEP flap: looking for evidence","volume":"104","author":"Remy","year":"2025","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2026.04.007_bib10","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.bjps.2024.09.084","article-title":"Incidence of and risk factors for post-operative venous thromboembolism after free flap breast reconstruction in a London teaching hospital: a retrospective cohort study","volume":"99","author":"Allikmets","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2026.04.007_bib11","doi-asserted-by":"crossref","first-page":"2392","DOI":"10.1016\/j.bjps.2021.03.006","article-title":"Reducing postoperative venous thromboembolism in DIEP free flap breast reconstruction: extended pharmacological thromboprophylaxis within an enhanced recovery programme","volume":"74","author":"McKean","year":"2021","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"17","key":"10.1016\/j.bjps.2026.04.007_bib12","doi-asserted-by":"crossref","first-page":"5062","DOI":"10.3390\/jcm11175062","article-title":"Management of postoperative seroma: recommendations based on a 12-year retrospective study","volume":"11","author":"Papanikolaou","year":"2022","journal-title":"J Clin Med"},{"key":"10.1016\/j.bjps.2026.04.007_bib13","series-title":"StatPearls [Internet]","article-title":"Postoperative seroma management [Updated 2023 Aug 14]","author":"Kazzam","year":"2025"},{"issue":"06","key":"10.1016\/j.bjps.2026.04.007_bib14","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1055\/s-0040-1702175","article-title":"A nationwide analysis of early and late readmissions following free tissue transfer for breast reconstruction","volume":"36","author":"Magno-Padron","year":"2020","journal-title":"J Reconstr Microsurg"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.007_bib15","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.1097\/SAP.0000000000002167","article-title":"Microsurgical training opportunities at the Queen Victoria Hospital","volume":"84","author":"Henton","year":"2020","journal-title":"Ann Plast Surg"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526002123?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526002123?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:22:45Z","timestamp":1780039365000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681526002123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":15,"alternative-id":["S1748681526002123"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2026.04.007","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Modified Clavien\u2013Dindo Classification with scoring: A retrospective cohort study benchmarking morbidity in autologous breast reconstruction","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.2026.04.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 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"}]}}