ArticleGland surgery2019
A systematic review of donor site aesthetic and complications after deep inferior epigastric perforator flap breast reconstruction.
Article in Gland surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Closed Incision Negative Pressure Therapy Compared to Conventional Dressing Following Autologous Abdominal Tissue Breast Reconstruction: A Pilot Randomized Control Trial
Closed Incision Negative Pressure Therapy Compared to Conventional Dressing Following Autologous Abdominal Tissue Breast Reconstruction: A Randomized Control Trial
Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- One Surgery, Two Solutions: A Systematic Review of Combined Autologous Breast Reconstruction and Lymphatic Surgery.Current oncology (Toronto, Ont.) · 2026Pooled it
- Umbilicoplasty Techniques and Outcomes in Abdominally Based Autologous Breast Reconstruction: A Systematic Review.Aesthetic plastic surgery · 2026Pooled it
- Operative management of abdominal bulge following deep inferior epigastric perforator flap breast reconstruction: a systematic review of repair strategies and outcomes.Gland surgery · 2026Review
- Perforator Versus Non-perforator Flap for Perineal Reconstruction: Long-Term Comparison of Complications and Quality of Life.Annals of surgical oncology · 2026Article
- Donor-site Seroma in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Pooled Analysis.Plastic and reconstructive surgery. Global open · 2026Article
- Totally Extraperitoneal Endoscope-assisted Deep Inferior Epigastric Perforator Flap Harvest Using an Optical Trocar.Plastic and reconstructive surgery. Global open · 2026Article
- Cosmetic Principles and Contemporary Techniques: Achieving Aesthetic Outcomes in DIEP Flap Breast Reconstruction.Journal of clinical medicine · 2026Review
- Assessing Patient Priorities and Satisfaction Regarding Aesthetic Outcomes Following Autologous Breast Reconstruction.Aesthetic plastic surgery · 2026Article
- Breast Reconstruction After Cancer: Historical Development, Modern Techniques, and Psychological Impact.Healthcare (Basel, Switzerland) · 2026Review
- Abdominal-based vs. alternative flaps: Surgical outcomes and quality of life following different techniques of autologous breast reconstruction.JPRAS open · 2026Article
- Evaluating Rectus Abdominis Fascia and Alloderm as Wrapping Materials in Diced Cartilage Grafts for Dorsal Nasal Augmentation.Aesthetic plastic surgery · 2026Article
- Optimising the unilateral DIEP flap breast reconstruction: A United Kingdom-Netherlands multi-centre comparative study.JPRAS open · 2026Article
- How to approach the deep inferior epigastric perforator flap revision for optimal aesthetics.Gland surgery · 2026Review
- Robotic Horizons in Plastic Surgery: A Look Toward the Future.Journal of clinical medicine · 2026Review
- An Updated Classification: Important Branching and Perforator Patterns in Robotic-assisted Deep Inferior Epigastric Artery Perforator Flaps.Plastic and reconstructive surgery. Global open · 2025Article
- Aesthetic Breast Reconstruction With De-epidermized Deep Inferior Epigastric Artery Perforator Flap and Thoracoabdominal Advancement Flap.Plastic and reconstructive surgery. Global open · 2025Article
- Clinical impact of closed-incision negative-pressure therapy in DIEP flap breast reconstruction's donor site.Updates in surgery · 2025Article
- The evolution of digital surgery and the role of the surgeon.JPRAS open · 2025Review
- Assessing Donor Site Morbidity and Impact on Quality of Life in Free Flap Microsurgery: An Overview.Life (Basel, Switzerland) · 2024Review
- The enhanced-view totally extraperitoneal repair of abdominal bulge after DIEP flap breast reconstruction for breast cancer: a case report.Surgical case reports · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe deep inferior epigastric perforator flap (DIEP) has gained widespread popularity in autologous breast reconstruction due to its natural aesthetic results and muscle-sparing design. However, donor site results regarding aesthetic outcome are often less favorable. Despite several studies on surgical technique and improvements of flap harvest, only a small number of studies addressing donor site aesthetic exist.
methodsA systematic review was performed on donor site aesthetic after DIEP flap harvest according to the PRISMA guidelines. Secondary interests were abdominal wall morbidity and complication rates in general. The following electronic databases were included to identify relevant studies: Medline, Embase, PubMed, Cochrane, and Web of Science.
resultsThe search yielded 95 articles for full-text analysis, with only four key studies found on donor site aesthetic specifically. Regarding complication rates, the overall rate of abdominal hernia ranges from 0 to 7.1%. Abdominal bulging occurs in 2.3% to 33%. Besides abdominal wall integrity, wound dehiscence (12-39%), seroma (1-48%), hematoma (1-15%), infections (1-12%), fat necrosis (0-11%) and umbilical necrosis (2-3%) significantly impair donor site aesthetic.
conclusionsThis systematic review reveals that the topic of donor site aesthetic and potential improvement of results has largely been neglected in the past decade. This study provides a thorough evaluation of potential problems that plastic surgeons may encounter and includes recommendations to improve results.
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Registered trials
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.