Evidence map›Paper›PMID 32420286›Full record

ArticleGland surgery2020

Combined microvascular breast and lymphatic reconstruction with deep inferior epigastric perforator flap and gastroepiploic vascularized lymph node transfer for postmastectomy lymphedema patients.

Pedro Ciudad, Oscar J Manrique, Samyd S Bustos, Maria I Vargas, César Reynaga, Mouchammed Agko, Tony C T Huang, Eduardo Figueroa Benites, Horacio F Mayer, Antonio J Forte

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Gland surgery, 2020. 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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  3. [Advances in intra-abdominal vascularized lymph node transfer for treatment of limb lymphedema].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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  5. Pushing the DIEP Envelope: Where Are We Now?Journal of clinical medicine · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Pedro CiudadDepartment of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru.
Oscar J ManriqueDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA.
Samyd S BustosDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA.
Maria I VargasDepartment of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru.
César ReynagaDepartment of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru.
Mouchammed AgkoSection of Plastic Surgery, Medical College of Georgia, Augusta University, Augusta, GA, USA.
Tony C T HuangDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA.
Eduardo Figueroa BenitesDepartment of Oncology, Arzobispo Loayza National Hospital, Lima, Peru.
Horacio F MayerPlastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, Buenos Aires, Argentina.
Antonio J ForteDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Jacksonville, FL, USA.
Mayo Clinic · USAugusta University · USHospital Italiano de Buenos Aires · ARMayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combination of microvascular breast reconstruction (MBR) and vascularized lymph node transfer (VLNT) in a single-stage procedure is a surgical option for women who desire breast reconstruction and postmastectomy lymphedema surgery. In this study, we present a series of patients who underwent simultaneous lymphatic and MBR with the gastroepiploic VLNT (GE-VLNT) and the deep inferior epigastric perforator (DIEP) flap respectively.

methodsBetween 2018 and 2019, all consecutive patients diagnosed with lymphedema stage IIb-III International Society of Lymphology who opted to pursue simultaneous MBR with DIEP flap and GE-VLNT were included in this study. Patient demographics, comorbidities, prior radiation therapy, operative characteristics, surgical outcomes and complications were collected and analyzed.

resultsSix patients underwent simultaneous unilateral MBR with DIEP flap and GE-VLNT. The mean age was 48±10.5 years and mean body mass index was 28.2±4.5 kg/m

conclusionsThe combined use of DIEP flap and GE-VLNT flaps in a single-stage procedure is a safe and reliable surgical option for patients with postmastectomy lymphedema who desire and are suitable for autologous microvascular breast and lymphatic reconstruction.

Indexed as

breast reconstruction and lymph node transferdeep inferior epigastric perforator flap and lymph node transfer (DIEP flap and lymph node transfer)gastroepiploic lymph node transferLymphedemavascularized lymph node transfer (VLNT)

Identifiers

PMID32420286
PMCPMC7225469
OpenAlexW3007462959

What OpenQuestion holds

Textmetadata
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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.