Evidence map›Paper›PMID 28831346›Full record

ArticlePlastic and reconstructive surgery. Global open2017

Donor-Site Morbidity After DIEAP Flap Breast Reconstruction-A 2-Year Postoperative Computed Tomography Comparison.

Christoffer Aam Ingvaldsen, Gerhard Bosse, Georg Karl Mynarek, Thomas Berg, Tyge Tind Tindholdt, Kim Alexander Tønseth

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
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  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Christoffer Aam IngvaldsenDepartment of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Norway; Institute for Surgical Research, Oslo University Hospital, Norway; Department of Radiology, Rikshospitalet, Oslo University Hospital, Norway; and Faculty of Medicine, University of Oslo, Norway.
Gerhard BosseDepartment of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Norway; Institute for Surgical Research, Oslo University Hospital, Norway; Department of Radiology, Rikshospitalet, Oslo University Hospital, Norway; and Faculty of Medicine, University of Oslo, Norway.
Georg Karl MynarekDepartment of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Norway; Institute for Surgical Research, Oslo University Hospital, Norway; Department of Radiology, Rikshospitalet, Oslo University Hospital, Norway; and Faculty of Medicine, University of Oslo, Norway.
Thomas BergDepartment of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Norway; Institute for Surgical Research, Oslo University Hospital, Norway; Department of Radiology, Rikshospitalet, Oslo University Hospital, Norway; and Faculty of Medicine, University of Oslo, Norway.
Tyge Tind TindholdtDepartment of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Norway; Institute for Surgical Research, Oslo University Hospital, Norway; Department of Radiology, Rikshospitalet, Oslo University Hospital, Norway; and Faculty of Medicine, University of Oslo, Norway.
Kim Alexander TønsethDepartment of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Norway; Institute for Surgical Research, Oslo University Hospital, Norway; Department of Radiology, Rikshospitalet, Oslo University Hospital, Norway; and Faculty of Medicine, University of Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The study was undertaken to provide a more complete picture of donor-site morbidity following the deep inferior epigastric artery perforator (DIEAP) flap harvest in breast reconstruction. Most studies evaluating this subject have been performed using ultrasonography. Computed tomography (CT) might provide valuable information.

methodsIn 14 patients who were reconstructed with a DIEAP flap, donor-site morbidity was assessed by comparing routine preoperative CT abdomen with CT abdomen performed 2 years postoperatively. The anteroposterior diameter and transverse diameter (TD) of the rectus muscle were measured bilaterally within 4 standardized zones. Diastasis recti abdominis (DRA) was measured in the same zones. The abdominal wall was assessed for hernias, bulging, and seromas.

resultsThe operated rectus muscle had a significantly increased anteroposterior diameter in 2 zones and decreased TD in 1 zone compared with preoperative measurements. Comparing the operated and nonoperated rectus muscles, the former had a significantly decreased TD in 1 zone. Supraumbilical DRA was significantly decreased with surgery, whereas infraumbilical DRA was significantly increased. No new hernias or bulging were found. Two patients had seroma formation in the abdominal wall.

conclusionsSymmetry of the 2 hemiabdomens is well preserved after DIEAP flap harvest; however, significant changes to the rectus muscles and DRA were observed. Hernia formation does not seem to be a postoperative complication of importance. The study indicates that DIEAP flaps result in limited donor-site morbidity, which for most patients does not outweigh the benefits of free perforator flap breast reconstruction.

Identifiers

PMID28831346
PMCPMC5548569
OpenAlexW2740323492

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.