{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:29:30Z","timestamp":1773570570286,"version":"3.50.1"},"reference-count":46,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014181","name":"Junta de Extremadura","doi-asserted-by":"crossref","award":["GR21201"],"award-info":[{"award-number":["GR21201"]}],"id":[{"id":"10.13039\/501100014181","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Reconstr Microsurg"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Lymphedema is a chronic condition, characterized by fluid buildup and tissue swelling and is caused by impairment of the lymphatic system. The lymph interpositional flap transfer technique, in which lymph flow is restored with a flap that includes subdermal lymphatic channels, is an option for surgical reconstruction. The superficial circumflex iliac artery perforator (SCIP) flap can be used for this purpose. This study aimed to describe and characterize the lymphatic patterns within the vascular territory of the SCIP flap.<\/jats:p><jats:p>\n          Methods\u2003This cross-sectional multicenter study involved 19 healthy volunteers aged \u226518 years of both sexes assessing the bilateral SCIP flap zone. Superficial lymphatic patterns were evaluated at 4-, 14-, and 24\u2009minutes after indocyanine green (ICG) lymphography injection. Standardized procedures were implemented for all participants in both hospitals.<\/jats:p><jats:p>\n          Results\u2003The linear pattern was predominant bilaterally. The median number of lymphatic vessels and their length increased over time. Most lymphatic vessels in the SCIP flap were oriented toward the inguinal lymph node (ILN). However, the left SCIP zone lymphatic vessels were directed opposite to the ILN.<\/jats:p><jats:p>\n          Conclusion\u2003The two sides SCIP zones were not significantly different. The primary direction of the bilateral lymphatic vessels was toward the ILN, although only single-side lymphatic vessels were in the opposite direction. These findings emphasize the importance of assessing lymphatic axiality and coherent lymphatic patterns prior to undertaking the SCIP as an interposition flap, to ensure effective restoration of lymphatic flow.<\/jats:p>","DOI":"10.1055\/a-2340-9629","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T23:04:45Z","timestamp":1717801485000},"page":"209-218","source":"Crossref","is-referenced-by-count":2,"title":["Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8077-2454","authenticated-orcid":false,"given":"Jos\u00e9 Luis","family":"Campos","sequence":"additional","affiliation":[{"name":"Department of Microsurgery, Jes\u00fas Us\u00f3n Minimally Invasive Surgery Centre, C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinikka","family":"Suominen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Helsinki University Central Hospital, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Pons","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali M.","family":"Al-Sakkaf","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene Laura","family":"Lusetti","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Sirota","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"Vela","sequence":"additional","affiliation":[{"name":"Department of Microsurgery, Jes\u00fas Us\u00f3n Minimally Invasive Surgery Centre, C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Pires","sequence":"additional","affiliation":[{"name":"Department of Microsurgery, Jes\u00fas Us\u00f3n Minimally Invasive Surgery Centre, C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Miguel","family":"S\u00e1nchez-Margallo","sequence":"additional","affiliation":[{"name":"Department of Microsurgery, Jes\u00fas Us\u00f3n Minimally Invasive Surgery Centre, C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Abell\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Microsurgery, Jes\u00fas Us\u00f3n Minimally Invasive Surgery Centre, C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaume","family":"Masi\u00e1","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1083\/jcb.201012094","article-title":"Lymphatic vascular morphogenesis in development, physiology, and disease","volume":"193","author":"S Schulte-Merker","year":"2011","journal-title":"J Cell Biol"},{"issue":"11","key":"ref2","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1038\/nm.2545","article-title":"The lymphatic vasculature in disease","volume":"17","author":"K Alitalo","year":"2011","journal-title":"Nat 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