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. 2017 Aug 30;7:10022. doi: 10.1038/s41598-017-10733-z

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© The Author(s) 2017

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Serial change of exteriorized monitoring skin paddle of the SEAP and DIEP flap. (A) Immediate after the operation, the monitoring skin paddle showed pinkish color. (B) The monitoring skin paddle was intact and swelling in the anterior midline neck was noted at postoperative day 7. (C) The color of the monitoring skin paddle was similar with the surrounding neck skin and the swelling disappeared at postoperative day 84. (D) The color of the monitoring skin paddle changed dark indicating venous congestion. DIEP, deep inferior epigastric perforator, SEAP, superior epigastric artery perforator.