Evidence map›Paper›PMID 33437474›Full record

ArticleAnnals of medicine and surgery (2012)2021

Mastectomy with immediate breast reconstruction: Results of a mono-centric 4-years cohort.

Olivia Quilichini, Julien Barrou, Marie Bannier, Sandrine Rua, Aurore Van Troy, Laura Sabiani, Eric Lambaudie, Monique Cohen, Gilles Houvenaeghel

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 1 institution in 1 country.

Olivia QuilichiniDepartment of Surgery, Paoli Calmettes Institute, 232 Bd Ste Marguerite, Marseille, France.
Julien BarrouDepartment of Surgery, Paoli Calmettes Institute, 232 Bd Ste Marguerite, Marseille, France.
Marie BannierDepartment of Surgery, Paoli Calmettes Institute, 232 Bd Ste Marguerite, Marseille, France.
Sandrine RuaDepartment of Surgery, Paoli Calmettes Institute, 232 Bd Ste Marguerite, Marseille, France.
Aurore Van TroyDepartment of Surgery, Paoli Calmettes Institute, 232 Bd Ste Marguerite, Marseille, France.
Laura SabianiDepartment of Surgery, Paoli Calmettes Institute, 232 Bd Ste Marguerite, Marseille, France.
Eric LambaudieDepartment of Surgery, Paoli Calmettes Institute & CRCM & Aix Marseille Univ, 232 Bd Ste Marguerite, Marseille, France.
Monique CohenDepartment of Surgery, Paoli Calmettes Institute, 232 Bd Ste Marguerite, Marseille, France.
Gilles HouvenaeghelDepartment of Surgery, Paoli Calmettes Institute & CRCM & Aix Marseille Univ, 232 Bd Ste Marguerite, Marseille, France.
Institut Paoli-Calmettes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOncological safety, quality of life and cosmetic outcomes seems to be similar between breast conserving surgery (BCS) and mastectomy with immediate breast reconstruction (IBR). We report our experience of IBR for consecutive mastectomies realized in a recent period of four years in order to determined immediate surgical results according to type of mastectomy and type of reconstruction, as mains objectives.

methodsAll mastectomies with IBR during years 2016-2019 were included. A retrospective analysis with prospective data collection was performed.

resultsWe analyzed 748 IBR: 353 nipple-sparing mastectomies (NSM), 391 skin-sparing mastectomies (SSM) and 4 standard mastectomies, 551 with definitive implant or expanders and 196 with latissimus dorsi-flap (LDF). More NSM were performed during the 2 last years and more LDF were performed for high BMI, high breast cup-size, neo-adjuvant chemotherapy and radiotherapy and local recurrence. We realized 111 robotic NSM and 125 robotic LDF. Longer duration of surgery was significantly associated with the robotic procedures.The overall complications crude rate was 31.4% with 9.9% of re-operations and 5.8% of implant loss. Grade 2-3 complications were significantly associated with smoking. Breast complications occurred in 32.9% of mastectomies with principally skin or nipple-areola-complex suffering or necrosis, hematomas and infections. A predictive score was determined to evaluate risk of complications before surgery.

conclusionMastectomy with IBR seems to be a safe technique with an acceptable complication rate which is increased by tobacco use, high breast cup-size and IBR-type.

Indexed as

breastComplicationMastectomyReconstructionRobotic

Identifiers

PMID33437474
PMCPMC7787913
OpenAlexW3117954077

What OpenQuestion holds

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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.