{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:55:36Z","timestamp":1774619736676,"version":"3.50.1"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Ann Plast Surg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>This study aims to present lateral sacral artery perforator (LSAP) flaps as a new option for myelomeningocele reconstruction and to discuss their advantages and disadvantages.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Eleven patients were included in the study, and reconstruction was performed with 22 LSAP flaps. Patients were evaluated in age, gender, birth weight, kyphosis status, defect localization and size, flap size, operation time, amount of bleeding, and postoperative complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Sixteen flaps were raised from the first and 6 from the second LSA. The average time for soft tissue reconstruction was 57 minutes. The mean blood loss was 11.1 mL\/kg. No cerebrospinal fluid leakage was detected in any patient. In 1 of the 22 flaps, venous congestion did not completely resolved and resulted in partial necrosis secondary to venous insufficiency. In 2 patients, minimal wound dehiscence was detected in the distal part of the flap. No wound infections, hematomas, donor site complications, or seromas were observed in any patient.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Considering that myelomeningoceles are often located in the lumbar region, we think that LSAP flaps will be a new option among other flaps. Additionally, if other flaps are used in the neonatal period, it may be a good alternative for pressure sore reconstruction in the kyphotic area.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/sap.0000000000004100","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T12:00:11Z","timestamp":1727870411000},"page":"e58-e65","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Lateral Sacral Artery Perforator Flap as a New Option in Myelomeningocele Reconstruction"],"prefix":"10.1097","volume":"93","author":[{"given":"Soysal","family":"Bas","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, Private Practice, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burcu","family":"Goker","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Medical Science, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2024,9,25]]},"reference":[{"key":"bib1-20250616","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1097\/SAP.0000000000003043","article-title":"Back to the beginning: an algorithmic approach to neonatal myelomeningocele repair","volume":"89","year":"2022","journal-title":"Ann Plast Surg"},{"key":"bib2-20250616","first-page":"1","article-title":"Embryology of myelomeningocele and anencephaly","volume":"16","year":"2004","journal-title":"Neurosurg Focus"},{"key":"bib3-20250616","first-page":"73","article-title":"Folic acid: primary prevention of neural tube defects. Literature review","volume":"69","year":"2016","journal-title":"Arch Esp Urol"},{"key":"bib4-20250616","first-page":"2040","article-title":"Meningomyelocele reconstruction: comparison of repair methods via systematic review","volume":"34","year":"2023","journal-title":"J Craniofac Surg"},{"key":"bib5-20250616","doi-asserted-by":"crossref","first-page":"150823","DOI":"10.1053\/j.sempedsurg.2019.07.006","article-title":"Fetal myelomeningocele repair","volume":"28","year":"2019","journal-title":"Semin Pediatr Surg"},{"key":"bib6-20250616","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00006534-199101000-00018","article-title":"Split-thickness skin grafting of the myelomeningocele defect: a subset at risk for late ulceration","volume":"87","year":"1991","journal-title":"Plast Reconstr Surg"},{"key":"bib7-20250616","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1097\/01.sap.0000258968.41727.0f","article-title":"A new technique for closure of large meningomyelocele defects","volume":"59","year":"2007","journal-title":"Ann Plast Surg"},{"key":"bib8-20250616","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1097\/SCS.0000000000004598","article-title":"Adipofascial flaps with acellular dermal matrix compared with myocutaneous flap reconstruction in lumbar myelomeningocele defects","volume":"29","year":"2018","journal-title":"J Craniofac Surg"},{"key":"bib9-20250616","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1097\/00006534-198712000-00007","article-title":"A new surgical approach to closure of large lumbosacral meningomyelocele defects","volume":"80","year":"1987","journal-title":"Plast Reconstr Surg"},{"key":"bib10-20250616","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.bjps.2003.12.035","article-title":"Large thoracolumbar meningomyelocele defects: incidence and clinical experiences with different modalities of latissimus dorsi musculocutaneus flap","volume":"57","year":"2004","journal-title":"Br J Plast Surg"},{"key":"bib11-20250616","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1097\/SAP.0000000000000600","article-title":"An application of keystone perforator island flap for closure of lumbosacral myelomeningocele defects","volume":"77","year":"2016","journal-title":"Ann Plast Surg"},{"key":"bib12-20250616","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1097\/01.sap.0000162522.77690.71","article-title":"Closure of meningomyelocele defects with bilateral modified V-Y advancement flaps","volume":"54","year":"2005","journal-title":"Ann Plast Surg"},{"key":"bib13-20250616","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/SAP.0b013e3181f3e0cf","article-title":"Closure of large myelomeningocele defects using dorsal intercostal artery perforator flap","volume":"67","year":"2011","journal-title":"Ann Plast Surg"},{"key":"bib14-20250616","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/SAP.0b013e31826caf5a","article-title":"Bilateral propeller flap closure of large meningomyelocele defects","volume":"73","year":"2014","journal-title":"Ann Plast Surg"},{"key":"bib15-20250616","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1097\/SAP.0000000000000417","article-title":"Dorsal intercostal artery perforator propeller flaps: a reliable option in reconstruction of large meningomyelocele defects","volume":"76","year":"2016","journal-title":"Ann Plast Surg"},{"key":"bib16-20250616","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/SAP.0000000000001737","article-title":"Repair of sacral and ischial region defects with lateral sacral artery perforator flaps","volume":"82","year":"2019","journal-title":"Ann Plast Surg"},{"key":"bib17-20250616","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1054\/bjps.2001.3680","article-title":"Meningomyelocele reconstruction with bilobed flaps","volume":"54","year":"2001","journal-title":"Br J Plast Surg"},{"key":"bib18-20250616","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.1016\/j.bjps.2012.03.029","article-title":"Extradural myelomeningocele reconstruction using local turnover fascial flaps and midline linear skin closure","volume":"65","year":"2012","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"bib19-20250616","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.jpeds.2014.09.039","article-title":"The National Spina Bifida Patient Registry: profile of a large cohort of participants from the first 10 clinics","volume":"166","year":"2015","journal-title":"J Pediatr"},{"key":"bib20-20250616","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1016\/j.apmr.2015.02.029","article-title":"Factors associated with pressure ulcers in individuals with spina bifida","volume":"96","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"key":"bib21-20250616","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1111\/j.1651-2227.2006.00153.x","article-title":"Medical problems in adolescents with myelomeningocele (MMC): an inventory of the Swedish MMC population born during 1986\u20131989","volume":"96","year":"2007","journal-title":"Acta Paediatr"},{"key":"bib22-20250616","doi-asserted-by":"crossref","first-page":"4128","DOI":"10.1007\/s00586-023-07924-w","article-title":"Kyphectomy in myelomeningocele revisited: risk factors for failure","volume":"32","year":"2023","journal-title":"Eur Spine J"},{"key":"bib23-20250616","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/PRS.0b013e3181934873","article-title":"The angiosomes of the thigh and buttock","volume":"123","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"bib24-20250616","doi-asserted-by":"crossref","first-page":"1864","DOI":"10.1097\/01.PRS.0000142741.11963.10","article-title":"A new approach to closure of large lumbosacral myelomeningoceles: the superior gluteal artery perforator flap","volume":"114","year":"2004","journal-title":"Plast Reconstr Surg"},{"key":"bib25-20250616","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1097\/PRS.0b013e3181fed789","article-title":"Use of the upper medial thigh perforator flap (gracilis perforator flap) for lower extremity reconstruction","volume":"127","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"bib26-20250616","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1002\/micr.30381","article-title":"Venous super-drained posterior interosseous artery flap for dorsal hand defects","volume":"38","year":"2018","journal-title":"Microsurgery"},{"key":"bib27-20250616","doi-asserted-by":"crossref","first-page":"80","DOI":"10.3109\/2000656X.2015.1102737","article-title":"Use of dorsal intercostal artery perforator flap in the repair of back defects","volume":"50","year":"2016","journal-title":"J Plast Surg Hand Surg"},{"key":"bib28-20250616","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/01.sap.0000196561.92828.d7","article-title":"The effect of twisting on perforator flap viability: an experimental study in rats","volume":"56","year":"2006","journal-title":"Ann Plast Surg"},{"key":"bib29-20250616","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1055\/s-0030-1261697","article-title":"First aid for failing flaps","volume":"26","year":"2010","journal-title":"J Reconstr Microsurg"},{"key":"bib30-20250616","first-page":"E68","article-title":"Autonomic receptor\u2014effector coupling during post-natal development","volume":"31 Spec No","year":"1996","journal-title":"Cardiovasc Res"}],"container-title":["Annals of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/SAP.0000000000004100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T22:01:34Z","timestamp":1750111294000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/SAP.0000000000004100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,25]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1097\/sap.0000000000004100","relation":{},"ISSN":["1536-3708","0148-7043"],"issn-type":[{"value":"1536-3708","type":"electronic"},{"value":"0148-7043","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9,25]]}}}