Evidence map›Paper›PMID 38689350›Full record

ArticleJournal of cardiothoracic surgery2024

Mind the gap! Interdisciplinary approach to anterior chest wall reconstruction after total sternectomy.

Olaf Michael Glueck, Denis Ehrl, Rudolf A Hatz, Jan M Fertmann

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. 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

4 authors.

Olaf Michael Glueck *Division of Thoracic Surgery, LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany. olaf.glueck@med.uni-muenchen.de.
Denis Ehrl *Division of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Rudolf A HatzDivision of Thoracic Surgery, LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Jan M FertmannDivision of Thoracic Surgery, LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are various reconstructive methods after total sternectomy. Reproducibility is scarce due to overall small patient numbers. Therefore we present a standardized, interdisciplinary approach for thoracic and plastic surgery.

methodsFour patients underwent interdisciplinary chest wall reconstruction with STRATOS® titanium bars and myocutaneous vastus lateralis muscle free flap in our center.

resultsAll patients reported chest wall stability after reconstruction. They reported good quality of life, no dyspnea, prolonged pain or impairment in lung function from rigid reconstruction. FEV1/FVC was overall better after surgery. Secondary wound healing was not impaired and there was no implant defect in follow up.

conclusionsWe recommend an interdisciplinary surgical approach in chest wall reconstruction after total sternectomy. The combination of rigid reconstruction with titanium bars and a myocutaneous vastus lateralis muscle free flap renders excellent results in patient satisfaction and is objectifiable via spirometry.

Indexed as

Plastic Surgery ProceduresSternumThoracic WallAgedFemaleHumansMaleMiddle AgedMyocutaneous FlapQuality of LifeChest wall reconstructionChest wall stabilityReconstructive surgerySternectomy

Identifiers

PMID38689350
PMCPMC11059752

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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.