Evidence map›Paper›PMID 35328236›Full record

ArticleDiagnostics (Basel, Switzerland)2022

A New CT Analysis of Abdominal Wall after DIEP Flap Harvesting.

Tito Brambullo, Eva Kohlscheen, Diego Faccio, Francesco Messana, Roberto Vezzaro, Giulia Pranovi, Stefano Masiero, Sandra Zampieri, Barbara Ravara, Franco Bassetto and 1 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. 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
–field-weighted citation impact
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.

  1. Review
  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.

Tito BrambulloPlastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.ORCID 0000-0002-1041-9660
Eva KohlscheenPlastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.
Diego FaccioPlastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.ORCID 0000-0002-1736-9643
Francesco MessanaPlastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.ORCID 0000-0002-4613-6697
Roberto VezzaroRadiology Unit, Civil Hospital of Pescara, 65124 Pescara, Italy.
Giulia PranoviRehabilitation Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.
Stefano MasieroRehabilitation Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.ORCID 0000-0002-0361-4898
Sandra ZampieriDepartment of Biomedical Sciences, University of Padova, 35131 Padova, Italy.ORCID 0000-0001-6970-0011
Barbara RavaraDepartment of Biomedical Sciences, University of Padova, 35131 Padova, Italy.
Franco BassettoPlastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.
Vincenzo VindigniPlastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, 35128 Padua, Italy.ORCID 0000-0001-6638-9010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The abdominal microsurgical flap based on the deep inferior epigastric artery perforator (DIEP) flap has become the most popular option worldwide for autologous breast reconstruction. Several authors have investigated the results of reconstructed breasts, but the literature lacks systematic reviews exploring the donor site of the abdominal wall. To fulfil our aims, a new diagnostic muscle imaging analysis was designed and implemented. This study focused on rectus abdominal muscle morphology and function in a single series of 12 consecutive patients analysed before and after breast reconstruction with a microsurgical DIEP flap. Patients were divided into two groups, namely, "ipsilateral reconstruction" and "contralateral reconstruction", depending on the side of the flap harvest and breast reconstruction, then evaluated by computed tomography (CT) scans scheduled for tumor staging, and clinically examined by a physiatrist. Numerous alterations in muscle physiology were observed due to surgical dissection of perforator vessels, and rectus muscle distress without functional impairment was a common result. Postoperatively, patients undergoing "contralateral reconstruction" appeared to exhibit fewer rectus muscle alterations. Overall, only three patients were impacted by a long-term deterioration in their quality of life. On the basis of the newly developed and implemented diagnostic approach, we concluded that DIEP microsurgical breast reconstruction is a safe procedure without major complications at the donor site, even if long-term alterations of the rectus muscle are a common finding.

Indexed as

abdominal wallbreast reconstructionCTDIEP flapdonor site morbidityrectus muscle

Identifiers

PMID35328236
PMCPMC8947670

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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.