Evidence map›Paper›PMID 30066205›Full record

ArticleSurgical case reports2018

Spontaneous rupture of abdominal wall after breast reconstruction using deep inferior epigastric perforator flap following mastectomy for breast cancer.

Jun Iwabu, Tsutomu Namikawa, Hiroyuki Kitagawa, Kazune Fujisawa, Toyokazu Oki, Maho Ogawa, Natsuko Iwai, Akiko Yano, Motone Kuriyama, Takeki Sugimoto and 1 more

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In one paragraph

Article in Surgical case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Jun IwabuDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan.
Tsutomu NamikawaDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan. tsutomun@kochi-u.ac.jp.
Hiroyuki KitagawaDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan.
Kazune FujisawaDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan.
Toyokazu OkiDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan.
Maho OgawaDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan.
Natsuko IwaiDepartment of Plastic and Reconstructive Surgery, Kochi Medical School, Nankoku, Kochi, Japan.
Akiko YanoDepartment of Plastic and Reconstructive Surgery, Kochi Medical School, Nankoku, Kochi, Japan.
Motone KuriyamaDepartment of Plastic and Reconstructive Surgery, Kochi Medical School, Nankoku, Kochi, Japan.
Takeki SugimotoDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan.
Kazuhiro HanazakiDepartment of Surgery, Kochi Medical School, Nankoku, Kochi, 783-8505, Japan.
Kochi Medical School Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe demand for breast reconstruction after mastectomy is rising. The use of deep inferior epigastric perforator (DIEP) flap in autologous reconstruction is a popular approach. There were some reports about abdominal complications after breast reconstruction. However, there was no report about spontaneous rupture of abdominal wall. CASE PRESENTATION: A 46-year-old female patient was diagnosed with left breast cancer. Left mastectomy with sentinel lymph node biopsy was performed, and the breast was reconstructed using DIEP flap simultaneously. She suffered heavy abdominal pain and vomiting at postoperative day 4. Computed tomography showed bowel herniation into the subcutaneous tissue caused by left abdominal wall rupture. The abdominal wall was sutured and repaired using mesh by emergency surgery.

conclusionsTo the best of our knowledge, this is the first case about spontaneous rupture of abdominal wall after breast reconstruction using DIEP flap to be reported in the English literature. DIEP flap on breast reconstructive surgery may cause spontaneous rupture of abdominal wall.

Indexed as

Abdominal wallBreast cancerDeep inferior epigastric perforatorSpontaneous rupture

Identifiers

PMID30066205
PMCPMC6068064
OpenAlexW2886152302

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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.