ReviewJournal of clinical medicine2022
Implant-Based Breast Reconstruction after Mastectomy, from the Subpectoral to the Prepectoral Approach: An Evidence-Based Change of Mind?
Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Comparison of Secondary Procedures and Complications Between Subpectoral and Prepectoral Direct-to-implant-based Breast Reconstruction: 5-year Retrospective Analysis.Plastic and reconstructive surgery. Global open · 2026Article
- The endoscopic-assisted triple-plane technique: a technical refinement for complete autologous prosthesis coverage in subpectoral implant-based breast reconstruction.Gland surgery · 2026Article
- Prepectoral Breast Reconstruction with Polyurethane-Coated Implants: A 117-Patient Single-Center Study with Objective Cosmetic Evaluation.Aesthetic plastic surgery · 2026Article
- Technical feasibility of hand-meshed autologous dermal grafts in immediate prepectoral breast reconstruction: a preliminary case series.BMC surgery · 2026Article
- Trends in breast reconstruction for BRCA1/2, PALB2 and other high penetrance germline pathogenic variant carriers undergoing risk reducing mastectomy.Familial cancer · 2026Article
- Effectiveness of the Implementation of a Bundle Protocol for the Reduction of Postmastectomy Reconstruction Failures.Plastic and reconstructive surgery. Global open · 2026Article
- Beyond decoration: free-standing lace embroidery for 3D shaped surgical mesh implants.Scientific reports · 2026Article
- Using Machine Learning as a Seroma Risk Assessment Tool in Prepectoral Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2026Article
- Comparative outcomes of prepectoralGland surgery · 2025Article
- Article
- One-Year Outcomes in Prepectoral versus Subpectoral Alloplastic Breast Reconstruction.Plastic and reconstructive surgery · 2025Article
- Direct-to-implant breast reconstruction in prepectoral versus subpectoral planes: a meta-analysis framework for comparing complication rates and patient-reported outcomes.International journal of surgery protocols · 2025Article
- Implant Plane Does Not Seem to Impact Shoulder Function after Direct-to-Implant Breast Reconstruction in Non-Radiated Patients: A Randomized Controlled Trial.Archives of plastic surgery · 2025Article
- Mesh for immediate implant-based prepectoral breast reconstruction following mastectomy.The Cochrane database of systematic reviews · 2025Article
- Repeated Autologous Fat Grafting Significantly Increases Mastectomy Flap Thickness in Pre-Pectoral Multi-Stage Composite Expander-to-Implant Breast Reconstruction: Exploring the Concept of a Reverse Expansion.Journal of clinical medicine · 2025Article
- Postoperative Outcomes in Prepectoral Versus Retropectoral Immediate Implant-based Breast Reconstruction Across Body Mass Index Categories.Plastic and reconstructive surgery. Global open · 2025Article
- Smooth Operator: Nanotextured Breast Tissue Expanders Are Associated with Lower Rates of Capsular Contracture.Journal of clinical medicine · 2024Article
- Does the use of acellular dermal matrices (ADM) in women undergoing pre-pectoral implant-based breast reconstruction increase operative success versus non-use of ADM in the same setting? A systematic review protocol.Systematic reviews · 2024Article
- Current Global Trends in Prepectoral Breast Reconstruction.Medicina (Kaunas, Lithuania) · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Over the last years, prepectoral implant-based breast reconstruction has undergone a renaissance due to several technical advancements regarding mastectomy techniques and surgical approaches for the placement and soft tissue coverage of silicone implants. Initially abandoned due to the high incidence of complications, such as capsular contraction, implant extrusion, and poor aesthetic outcome, the effective prevention of these types of complications led to the prepectoral technique coming back in style for the ease of implant placement and the conservation of the pectoralis muscle function. Additional advantages such as a decrease of postoperative pain, animation deformity, and operative time contribute to the steady gain in popularity. This review aims to summarize the factors influencing the trend towards prepectoral implant-based breast reconstruction and to discuss the challenges and prospects related to this operative approach.
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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.