Evidence map›Paper›PMID 36567386›Full record

ArticleAnnals of surgical oncology2023

A Novel Fat-Augmented Omentum-Based Construct for Unilateral and Bilateral Free-Flap Breast Reconstruction in Underweight and Normal Weight Women Receiving Nipple or Skin-Sparing Mastectomies.

Dung H Nguyen, Danielle H Rochlin, Peter L Deptula, Yulia Zak, Monica Dua, Irene L Wapnir

Erratum issuedAbstract read
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In one paragraph

Article in Annals of surgical oncology, 2023. 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Dung H NguyenDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Stanford University School of Medicine, Stanford, CA, USA. nguyendh@stanford.edu.
Danielle H RochlinDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Stanford University School of Medicine, Stanford, CA, USA.
Peter L DeptulaDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Stanford University School of Medicine, Stanford, CA, USA.
Yulia ZakDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Stanford University School of Medicine, Stanford, CA, USA.
Monica DuaDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Stanford University School of Medicine, Stanford, CA, USA.
Irene L WapnirDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Stanford University School of Medicine, Stanford, CA, USA.
Stanford Medicine · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutologous tissue has proven advantages, however it is often not an option for women of low or normal body mass index (BMI). Omentum has been used sparingly, typically as a pedicled flap to correct breast deformities, but is considered suboptimal for full breast reconstruction. We developed a new construct, the omental fat-augmented free flap (O-FAFF) as an alternative for breast reconstruction.

methodsO-FAFF involves laparoscopic omentum harvesting, creation of an acellular dermal matrix shell for its encasement, and lipoinjection to augment volume. The gastroepiploic vessels are microsurgically anastomosed to internal mammary vessels. Tissue and O-FAFF construct weights as well as outcomes are reported.

resultsThirty-four consecutive women (50 breasts) received O-FAFF breast reconstruction after 18 unilateral and 16 bilateral mastectomies (10 non-nipple-sparing, 40 nipple-sparing). Thirty-seven were immediate and 13 were revisions of previous breast reconstructions. Patient mean age was 48.2 (range 23-73) years and mean BMI was 22.3 (range 17.6-32.4) kg/m

conclusionsThe O-FAFF is ideally suited for women of lower BMI and could dramatically increase the number of women who are candidates for autologous breast reconstruction.

Indexed as

Breast NeoplasmsFree Tissue FlapsMammaplastyMastectomy, SubcutaneousAdultAgedFemaleHumansMastectomyMiddle AgedNipplesOmentumRetrospective StudiesThinnessTreatment OutcomeYoung Adult

Identifiers

PMID36567386
OpenAlexW4312137135

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.