{"id":"https://openalex.org/W7166567410","doi":"https://doi.org/10.1097/prs.0000000000013293","title":"Beyond Flap Survival: Aesthetic Satisfaction and Patient-Reported Outcomes in Microsurgical Lower Limb Reconstruction","display_name":"Beyond Flap Survival: Aesthetic Satisfaction and Patient-Reported Outcomes in Microsurgical Lower Limb Reconstruction","publication_year":2026,"publication_date":"2026-06-29","ids":{"openalex":"https://openalex.org/W7166567410","doi":"https://doi.org/10.1097/prs.0000000000013293","pmid":"https://pubmed.ncbi.nlm.nih.gov/42370945"},"language":"en","primary_location":{"id":"doi:10.1097/prs.0000000000013293","doi":"https://doi.org/10.1097/prs.0000000000013293","is_oa":false,"landing_page_url":"https://doi.org/10.1097/prs.0000000000013293","pdf_url":null,"source":{"id":"https://openalex.org/S100736837","display_name":"Plastic & Reconstructive Surgery","issn_l":"0032-1052","issn":["0032-1052","1076-5751","1529-4242"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic &amp; Reconstructive Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101401066","display_name":"Gabriele Giunta","orcid":"https://orcid.org/0000-0002-2547-2851","observed_orcids":["https://orcid.org/0000-0002-2547-2851"]},"institutions":[{"id":"https://openalex.org/I4210126764","display_name":"Universitair Ziekenhuis Brussel","ror":"https://ror.org/038f7y939","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210126764"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Gabriele Giunta","raw_affiliation_strings":["Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium","institution_ids":["https://openalex.org/I4210126764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116362944","display_name":"Laure Ledegen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210126764","display_name":"Universitair Ziekenhuis Brussel","ror":"https://ror.org/038f7y939","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210126764"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Laure Ledegen","raw_affiliation_strings":["Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium","institution_ids":["https://openalex.org/I4210126764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070406467","display_name":"Renee De Busser","orcid":"https://orcid.org/0000-0002-8293-1153","observed_orcids":["https://orcid.org/0000-0002-8293-1153"]},"institutions":[{"id":"https://openalex.org/I4210126764","display_name":"Universitair Ziekenhuis Brussel","ror":"https://ror.org/038f7y939","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210126764"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Renee De Busser","raw_affiliation_strings":["Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium","institution_ids":["https://openalex.org/I4210126764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065086757","display_name":"Wilfried Cools","orcid":"https://orcid.org/0000-0002-3458-0336","observed_orcids":["https://orcid.org/0000-0002-3458-0336"]},"institutions":[{"id":"https://openalex.org/I13469542","display_name":"Vrije Universiteit Brussel","ror":"https://ror.org/006e5kg04","country_code":"BE","type":"education","lineage":["https://openalex.org/I13469542"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Wilfried Cools","raw_affiliation_strings":["Core facility - Support for Quantitative and Qualitative Research (SQUARE), Vrije Universiteit Brussel, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Core facility - Support for Quantitative and Qualitative Research (SQUARE), Vrije Universiteit Brussel, Belgium","institution_ids":["https://openalex.org/I13469542"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061200463","display_name":"Ayush K. Kapila","orcid":"https://orcid.org/0000-0003-3523-7924","observed_orcids":["https://orcid.org/0000-0003-3523-7924"]},"institutions":[{"id":"https://openalex.org/I4210126764","display_name":"Universitair Ziekenhuis Brussel","ror":"https://ror.org/038f7y939","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210126764"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Ayush Kapila","raw_affiliation_strings":["Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium","institution_ids":["https://openalex.org/I4210126764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077855223","display_name":"Karl Waked","orcid":"https://orcid.org/0000-0002-7409-5626","observed_orcids":["https://orcid.org/0000-0002-7409-5626"]},"institutions":[{"id":"https://openalex.org/I4210126764","display_name":"Universitair Ziekenhuis Brussel","ror":"https://ror.org/038f7y939","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210126764"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Karl Waked","raw_affiliation_strings":["Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium","institution_ids":["https://openalex.org/I4210126764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020737915","display_name":"Alexandru Nistor","orcid":"https://orcid.org/0000-0001-6215-5858","observed_orcids":["https://orcid.org/0000-0001-6215-5858"]},"institutions":[{"id":"https://openalex.org/I4210126764","display_name":"Universitair Ziekenhuis Brussel","ror":"https://ror.org/038f7y939","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210126764"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Alexandru Nistor","raw_affiliation_strings":["Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium","institution_ids":["https://openalex.org/I4210126764"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083099954","display_name":"Moustapha Hamdi","orcid":"https://orcid.org/0000-0001-6777-3866","observed_orcids":["https://orcid.org/0000-0001-6777-3866"]},"institutions":[{"id":"https://openalex.org/I4210126764","display_name":"Universitair Ziekenhuis Brussel","ror":"https://ror.org/038f7y939","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210126764"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Moustapha Hamdi","raw_affiliation_strings":["Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic, Reconstructive and Aesthetic Surgery University Hospital (UZ) Brussels Laarbeeklaan 101 1090 Brussels Belgium","institution_ids":["https://openalex.org/I4210126764"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.53103707,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11866","display_name":"Reconstructive Facial Surgery Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12173","display_name":"Body Contouring and Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lower-limb-reconstruction","display_name":"lower extremity reconstruction","score":0.9890000224113464},{"id":"https://openalex.org/keywords/aesthetic-satisfaction","display_name":"aesthetic satisfaction","score":0.8579999804496765},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.9779999852180481},{"id":"https://openalex.org/keywords/free-flap","display_name":"free flap","score":0.8460000157356262},{"id":"https://openalex.org/keywords/liposuction","display_name":"liposuction","score":0.9559999704360962},{"id":"https://openalex.org/keywords/flap-survival","display_name":"flap survival","score":0.7289999723434448},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.7799999713897705}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8173999786376953},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.6193000078201294},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6000999808311462},{"id":"https://openalex.org/C2779912925","wikidata":"https://www.wikidata.org/wiki/Q5871352","display_name":"Free flap","level":2,"score":0.4715999960899353},{"id":"https://openalex.org/C105776082","wikidata":"https://www.wikidata.org/wiki/Q617473","display_name":"Likert scale","level":2,"score":0.4677000045776367},{"id":"https://openalex.org/C2989316616","wikidata":"https://www.wikidata.org/wiki/Q6027402","display_name":"Lower limb","level":2,"score":0.4390999972820282},{"id":"https://openalex.org/C2779705553","wikidata":"https://www.wikidata.org/wiki/Q7168177","display_name":"Perforator flaps","level":2,"score":0.42500001192092896},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.36970001459121704},{"id":"https://openalex.org/C2781437307","wikidata":"https://www.wikidata.org/wiki/Q977628","display_name":"Microsurgery","level":2,"score":0.3508000075817108},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.32589998841285706},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.32420000433921814},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.29760000109672546},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.25850000977516174}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/prs.0000000000013293","doi":"https://doi.org/10.1097/prs.0000000000013293","is_oa":false,"landing_page_url":"https://doi.org/10.1097/prs.0000000000013293","pdf_url":null,"source":{"id":"https://openalex.org/S100736837","display_name":"Plastic & Reconstructive Surgery","issn_l":"0032-1052","issn":["0032-1052","1076-5751","1529-4242"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic &amp; Reconstructive Surgery","raw_type":"journal-article"},{"id":"pmid:42370945","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42370945","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic and reconstructive surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.5773420333862305,"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Traditional":[1],"measures":[2,241],"of":[3,63,199,237,256],"success":[4],"in":[5,155],"lower":[6,45,68,212,262],"limb":[7,46,69,213,263],"reconstruction":[8,47,70,74,214],"have":[9],"focused":[10],"on":[11,114],"flap":[12,158],"survival,":[13],"often":[14],"overlooking":[15],"aesthetic":[16,39,53,77,96,127,202,209,258],"and":[17,26,41,48,76,102,119,169,247],"patient-reported":[18,52,239],"outcomes.":[19],"However,":[20],"postoperative":[21],"dissatisfaction":[22,187],"with":[23,132,223],"contour,":[24],"colour,":[25],"donor":[27,101,149,220],"site":[28,150,175],"appearance":[29,164],"remains":[30],"common.":[31],"This":[32],"study":[33],"aimed":[34],"(1)":[35],"to":[36,50,216],"retrospectively":[37],"assess":[38],"outcomes":[40],"revision":[42,78,135],"rates":[43],"after":[44,137,211],"(2)":[49],"evaluate":[51],"satisfaction":[54,151,210,230],"using":[55],"a":[56,115,133],"dedicated":[57],"questionnaire.":[58],"METHODS:":[59],"A":[60,94],"single-surgeon":[61],"cohort":[62],"73":[64],"patients":[65,123,182],"who":[66,183],"underwent":[67,125],"was":[71,105,152],"analysed.":[72,120],"Demographics,":[73],"type":[75],"procedures":[79],"were":[80,83,112],"reviewed.":[81],"Patients":[82],"grouped":[84],"as":[85],"free":[86,138,233],"flaps":[87,92,139,143,226],"(n=44)":[88],"or":[89],"local":[90,142,157,224],"perforator":[91,225],"(n=29).":[93],"20-item":[95],"questionnaire,":[97,195],"divided":[98],"equally":[99],"between":[100],"recipient":[103],"domains,":[104],"administered":[106],"at":[107],"12":[108],"months":[109],"postoperatively.":[110],"Responses":[111],"recorded":[113],"5-point":[116],"Likert":[117],"scale":[118],"RESULTS:":[121],"Thirteen":[122],"(17.8%)":[124],"secondary":[126],"refinement,":[128],"most":[129],"commonly":[130],"liposuction,":[131],"higher":[134,228],"rate":[136],"(24.1%)":[140],"than":[141,232],"(11.9%;":[144],"p=0.04).":[145],"Among":[146],"44":[147],"respondents,":[148],"significantly":[153],"greater":[154],"the":[156,194,197,254],"group":[159],"for":[160],"contour":[161],"(p=0.0021),":[162],"scar":[163],"(p=0.0004),":[165],"skin":[166],"colour":[167],"(p=0.008)":[168],"comfort":[170],"when":[171,192],"clothed":[172],"(p=0.02).":[173],"Recipient":[174],"scores":[176,231],"showed":[177],"no":[178],"significant":[179],"differences.":[180],"Several":[181],"had":[184],"not":[185],"expressed":[186],"during":[188],"follow-up":[189],"reported":[190],"concerns":[191,246],"completing":[193],"suggesting":[196],"presence":[198],"previously":[200],"unexpressed":[201],"concerns.":[203],"CONCLUSIONS:":[204],"In":[205],"this":[206],"exploratory":[207],"study,":[208],"appeared":[215],"be":[217],"influenced":[218],"by":[219],"site-related":[221],"factors,":[222],"showing":[227],"donor-site":[229],"flaps.":[234],"Systematic":[235],"use":[236],"aesthetic-focused":[238],"outcome":[240],"may":[242],"help":[243],"identify":[244],"unvoiced":[245],"support":[248,253],"shared":[249],"decision-making.":[250],"These":[251],"findings":[252],"importance":[255],"integrating":[257],"considerations":[259],"into":[260],"contemporary":[261],"reconstruction.":[264]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-06-30T00:00:00"}
