{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:41:33Z","timestamp":1777448493922,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Hebei Provincial Health Commission Science and Technology Achievement Promotion Project","award":["20201109"],"award-info":[{"award-number":["20201109"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of the half purse suture technique in eliminating the \u201cdog-ear\u201d deformity at the donor site incision of the Deep Inferior Epigastric Perforator flap (DIEP) for breast reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>From May to October 2022, the half purse suture technique was employed to suture the lateral ends of the donor site incision in 5 female patients undergoing DIEP breast reconstruction. The patients\u2019 ages ranged from 39 to 56 years, with a mean age of 48.2 years. Four patients underwent primary breast reconstruction, while one patient underwent secondary reconstruction. Postoperatively, the donor site on the abdomen was routinely dressed with compression bandages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All 5 patients were followed up at one month postoperatively. The flaps survived successfully, and the donor site incisions healed primarily without complications. The skin at the lateral ends of the abdominal incisions appeared smooth, without any dog-ear deformity. No complications such as local concavity or infection were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The half purse suture technique effectively eliminates the \u201cdog-ear\u201d deformity at the donor site incision of the DIEP flap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251354841","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T23:39:34Z","timestamp":1751585974000},"page":"1986-1990","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Efficacy of Half Purse Suture Technique in Eliminating \u201cDog-Ear\u201d Deformity at Donor Site Incision in Deep Inferior Epigastric Perforator Flap (DIEP) Breast Reconstruction"],"prefix":"10.1177","volume":"91","author":[{"given":"Xinle","family":"Wang","sequence":"first","affiliation":[{"name":"Breast Disease Diagnosis and Treatment Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liu","family":"Yang","sequence":"additional","affiliation":[{"name":"Breast Disease Diagnosis and Treatment Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haoqi","family":"Wang","sequence":"additional","affiliation":[{"name":"Breast Disease Diagnosis and Treatment Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meiqi","family":"Wang","sequence":"additional","affiliation":[{"name":"Breast Disease Diagnosis and Treatment Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaiye","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenchuan","family":"Song","sequence":"additional","affiliation":[{"name":"Breast Disease Diagnosis and Treatment Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5538-7449","authenticated-orcid":false,"given":"Yuntao","family":"Li","sequence":"additional","affiliation":[{"name":"Breast Disease Diagnosis and Treatment Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMct0802899"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/tbj.14186"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30845"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-005-0527-4"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2021-102653"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000145723.05286.F7"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2019.06.027"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2021.09.043"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000110529.37143.96"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006630"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181ea42d3"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.10.005"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.02.008"},{"issue":"11","key":"e_1_3_6_15_2","first-page":"e31685","article-title":"Immediate deep inferior epigastric perforator flap reconstruction of a giant phyllodes tumor","volume":"14","author":"Larson B","year":"2022","unstructured":"Larson B, Francis A, Brown M, Van Fossen V, Cody D. Immediate deep inferior epigastric perforator flap reconstruction of a giant phyllodes tumor. 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