Evidence map›Paper›PMID 33238345›Full record

ArticleArchives of plastic surgery2020

Retrospective review of 108 breast reconstructions using the round block technique after breast-conserving surgery: Indications, complications, and outcomes.

Seok Kyung In, Yoon Soo Kim, Ho Sung Kim, Jin Hyung Park, Hong Il Kim, Hyung Suk Yi, Jea Chun Park, Chang Wan Jeon, Jin Hyuk Choi, Sung Ui Jung and 1 more

Open access · goldAbstract read
In one paragraph

Article in Archives of plastic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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.

Seok Kyung InDepartment of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Busan, Korea.
Yoon Soo KimDepartment of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Busan, Korea.
Ho Sung KimDepartment of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Busan, Korea.
Jin Hyung ParkDepartment of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Busan, Korea.
Hong Il KimDepartment of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Busan, Korea.
Hyung Suk YiDepartment of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Busan, Korea.
Jea Chun ParkDepartment of Radiology, Kosin University Gospel Hospital, Busan, Korea.
Chang Wan JeonDepartment of Surgery, Kosin University Gospel Hospital, Busan, Korea.
Jin Hyuk ChoiDepartment of Surgery, Kosin University Gospel Hospital, Busan, Korea.
Sung Ui JungDepartment of Surgery, Kosin University Gospel Hospital, Busan, Korea.
Hyo Young KimDepartment of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Busan, Korea.
Kosin University Gospel Hospital · KR

Funding

Kosin University Kosin-19-06
6 · The paper itself

Abstract

backgroundSeveral oncoplastic approaches have been implemented in recent years to enhance cosmetic results and to reduce complications. The round block technique is a volume displacement technique for breast reconstruction after breast-conserving surgery (BCS). However, its indications are currently limited according to tumor location, and its cosmetic results and complications have not been clearly established. We hypothesized that the round block technique could produce favorable cosmetic results without major complications regardless of tumor location or nipple-tumor distance, below a certain resected tumor volume and tumor-breast volume ratio.

methodsAll breast reconstructions using the round block technique after BCS were included in this analysis. Patients' data were reviewed retrospectively to investigate complications during follow-up, and clinical photos were used to evaluate cosmetic results. The relationships of tumor location, nipple-tumor distance, tumor volume, and the tumor-breast volume ratio with cosmetic results were investigated.

resultsIn total, 108 breasts were reconstructed. The mean resected tumor volume was 30.2±15.0 mL. The cosmetic score was 4.5±0.6 out of 5. Tumor location, nipple-tumor distance, tumor volume, tumor-breast volume ratio, radiotherapy, and chemotherapy had no significant effects on cosmetic results or complications. There were no major complications requiring reoperation.

conclusionsBreast reconstruction using the round block technique after BCS can lead to good cosmetic results without major complications regardless of the tumor location, nipple-tumor distance, radiotherapy, or chemotherapy. Below the maximum tumor volume (79.2 mL) and the maximum tumor-breast volume ratio (14%), favorable results were consistently obtained.

Indexed as

Breast-conserving surgeryBreast reconstructionSurgical flap

Identifiers

PMID33238345
PMCPMC7700858
OpenAlexW3100569346

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.