{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T09:31:17Z","timestamp":1769506277811,"version":"3.49.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>The lateral intercostal artery perforator flap, first described by Hamdi et al as a partial replacement technique for breast-conserving surgery (BCS), was traditionally a fasciocutaneous flap with the inherent skin scar on the lateral chest wall. Trying to limit donor site morbidity, we further modified the original lateral intercostal artery perforator flap, harvesting tissue on the same perforator without the skin paddle, the associated scar, and the need to reposition the patient on the operating table.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>We retrospectively analyzed 52 patients who underwent partial breast replacement after BCS between 2015 and 2020. We compared the 27 patients with the adipofascial lateral intercostal perforator flap (ALIP) with the remaining 25 replacement flaps regarding postoperative complications and aesthetic outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>An increased number of postoperative seromas were detected in the ALIP group according to the Clavien-Dindo classification; however, most of them were minor and did not delay adjuvant treatments or compromise cosmetic results. The aesthetic outcome evaluated through the Web BCCT.core workstation 1 year after surgery was shown to be identical between both groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The ALIP represents an alternative flap for tissue replacement in BCS, achieving overall similar complication rates and identical aesthetic outcomes when compared with other local perforator flaps, with reduced skin scars.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/gox.0000000000006811","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T12:00:24Z","timestamp":1747915224000},"page":"e6811","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction"],"prefix":"10.1097","volume":"13","author":[{"given":"Joao","family":"Correia Anacleto","sequence":"first","affiliation":[{"name":"From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal."}]},{"given":"Carlos","family":"Mavioso","sequence":"additional","affiliation":[{"name":"From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal."}]},{"given":"David","family":"Gomes Pinto","sequence":"additional","affiliation":[{"name":"From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal."}]},{"given":"Pedro","family":"Gouveia","sequence":"additional","affiliation":[{"name":"From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal."}]},{"given":"Marcio","family":"Debiasi","sequence":"additional","affiliation":[{"name":"From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal."}]},{"given":"Ljuba","family":"Morando","sequence":"additional","affiliation":[{"name":"From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal."}]},{"given":"Maria Joao","family":"Cardoso","sequence":"additional","affiliation":[{"name":"From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal."}]}],"member":"276","published-online":{"date-parts":[[2025,5]]},"reference":[{"key":"R1-20250522","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.breast.2017.06.004","article-title":"Less is more. Breast conservation might be even better than mastectomy in early breast cancer patients.","volume":"35","author":"Gentilini","year":"2017","journal-title":"Breast"},{"key":"R2-20250522","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.breast.2023.03.006","article-title":"Sometimes it is better to just make it simple. De-escalation of oncoplastic and reconstructive procedures.","volume":"69","author":"Bonci","year":"2023","journal-title":"Breast"},{"key":"R3-20250522","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1007\/s00266-016-0656-3","article-title":"The kite latissimus dorsi flap for breast reconstruction: an attempt to reduce lateral chest wall deformity and axillary bulking.","volume":"40","author":"Correia Anacleto","year":"2016","journal-title":"Aesthetic Plast Surg"},{"key":"R4-20250522","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1007\/s00266-020-01990-x","article-title":"Extended latissimus dorsi kite flap (ELD-K flap): revisiting an old place for a total autologous breast reconstruction in patients with medium to large breasts.","volume":"45","author":"Casella","year":"2020","journal-title":"Aesthetic Plast Surg"},{"key":"R5-20250522","doi-asserted-by":"crossref","first-page":"e1987","DOI":"10.1097\/GOX.0000000000001987","article-title":"New approach to oncoplastic breast conservation: combining autologous volume replacement and the wise-pattern mammaplasty.","volume":"6","author":"Schwartz","year":"2018","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"R6-20250522","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.bjps.2024.01.040","article-title":"Adipose perforator flaps without skin donor site: \u201cin between\u201d single scar approach for reconstruction of small peripheral breast defects after lumpectomy.","volume":"91","author":"Bastos","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R7-20250522","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.bjps.2006.01.006","article-title":"The versatility of the inter-costal artery perforator (ICAP) flaps.","volume":"59","author":"Hamdi","year":"2006","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R8-20250522","doi-asserted-by":"crossref","first-page":"e2066","DOI":"10.1097\/GOX.0000000000002066","article-title":"The modified lateral intercostal artery perforator flap.","volume":"7","author":"Meybodi","year":"2019","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"R9-20250522","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":"R10-20250522","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1111\/1754-9485.12645","article-title":"Proposal for a gold standard for cosmetic evaluation after breast conserving therapy: results from the St George and Wollongong Breast Boost trial.","volume":"61","author":"Merie","year":"2017","journal-title":"J Med Imaging Radiat Oncol"},{"key":"R11-20250522","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4103\/aca.ACA_157_18","article-title":"Descriptive statistics and normality tests for statistical data.","volume":"22","author":"Mishra","year":"2019","journal-title":"Ann Card Anaesth"},{"key":"R12-20250522","doi-asserted-by":"crossref","first-page":"152","DOI":"10.5395\/rde.2017.42.2.152","article-title":"Statistical notes for clinical researchers: chi-squared test and Fisher\u2019s exact test.","volume":"42","author":"Kim","year":"2017","journal-title":"Restor Dent Endod"},{"key":"R14-20250522","doi-asserted-by":"crossref","first-page":"e3334","DOI":"10.1097\/GOX.0000000000003334","article-title":"Breast reconstruction using the lateral thoracic, thoracodorsal, and intercostal arteries perforator flaps.","volume":"9","author":"Mangialardi","year":"2021","journal-title":"Plast Reconstr Surg Glob Open"}],"container-title":["Plastic and Reconstructive Surgery - Global Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/GOX.0000000000006811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T12:00:28Z","timestamp":1747915228000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/GOX.0000000000006811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":13,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/gox.0000000000006811","relation":{},"ISSN":["2169-7574"],"issn-type":[{"value":"2169-7574","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]}}}