Evidence map›Paper›PMID 38769148›Full record

ArticleAesthetic plastic surgery2024

Accelerating Fleur-de-lis Panniculectomy with the Absorbable Dermal Stapler-A Study of Efficiency, Aesthetics, and Quality-of-life.

Chris Amro, Isabel A Ryan, Mehdi S Lemdani, J Reed McGraw, Sogand Schafer, Robyn B Broach, John P Fischer

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Chris AmroDivision of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA. Chris.amro@pennmedicine.upenn.edu.ORCID 0000-0001-6002-8265
Isabel A RyanDivision of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Mehdi S LemdaniDivision of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
J Reed McGrawDivision of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Sogand SchaferDivision of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Robyn B BroachDivision of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
John P FischerDivision of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFleur-de-lis panniculectomy (FDL), a contouring technique involving vertical and horizontal tissue resections, often involves longer operative times and potential complications. This study assessed operative time, postoperative outcomes, and patient-reported quality of life (PRO) with Insorb

methodsA retrospective review from 2015 to 2022 of FDL patients excluded those with complex concomitant procedures. Demographics, operative details, and surgical outcomes were compared between patients using the dermal stapler and those with suture-only closures.

resultsForty subjects were identified, with 25 (62.5%) in the dermal stapler cohort. The dermal stapler significantly reduced total procedure time (66.76 vs. 125.33 min, p < 0.05). There were no significant differences in surgical site occurrences, aesthetic outcomes, readmissions, or reoperations. Multivariate regression analysis further highlighted the choice of closure technique as an independent predictor of operative time, with traditional sutures indicating a significantly increased operative time compared to using the dermal stapler (AOR 76.53, CI 38.11-114.95, p < 0.001). Regarding PROs, both groups saw improvements across multiple BODY-Q domains, but the dermal stapler group reported greater enhancements (six out of nine domains vs. three for sutures).

conclusionThe absorbable dermal stapler significantly reduces FDL operative time without increasing wound healing or aesthetic dissatisfaction incidents and maintains comparable quality-of-life improvements to standard suture closure. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://link.springer.com/journal/00266 .

Indexed as

AbdominoplastyEstheticsQuality of LifeSurgical StaplersSurgical StaplingAbsorbable ImplantsAdultCohort StudiesFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesSuture TechniquesTreatment OutcomeDermal staplerOperative timePanniculectomyQuality of life

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.