Evidence map›Paper›PMID 39586862›Full record

ArticleAesthetic plastic surgery2025

Management of Breast Cancer by Skin-Reducing Mastectomy and Immediate Breast Reconstruction by Prepectoral Implant Approach with Polypropylene Mesh for Patients with Large Breasts.

Walid M Abd El Maksoud, Yasser S Ahmed, Alaa Hamza, Maha A Alghamdi, Mohamed Alhashash, Pakinam A Rizk, Fahad S Al Amri, Khaled S Abbas, Abdullah Dalboh, Hassan A Alzahrani and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2025. 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. Article
  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

13 authors.

Walid M Abd El MaksoudSurgery Department, College of Medicine, King Khalid University, P.O. 641, 61421, Abha, Saudi Arabia. wabdulmksoud@kku.edu.sa.ORCID 0000-0002-2861-6611
Yasser S AhmedExperimental Surgery Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.ORCID 0000-0002-5198-2417
Alaa HamzaExperimental Surgery Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.ORCID 0009-0006-6690-5621
Maha A AlghamdiSurgery Department, College of Medicine, King Khalid University, P.O. 641, 61421, Abha, Saudi Arabia.ORCID 0000-0003-1306-9616
Mohamed AlhashashExperimental Surgery Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.ORCID 0000-0001-8555-4413
Pakinam A RizkMedical Research Institute, Alexandria University, Alexandria, Egypt.ORCID 0009-0008-3289-7437
Fahad S Al AmriSurgery Department, College of Medicine, King Khalid University, P.O. 641, 61421, Abha, Saudi Arabia.ORCID 0000-0001-6706-7646
Khaled S AbbasSurgery Department, College of Medicine, King Khalid University, P.O. 641, 61421, Abha, Saudi Arabia.ORCID 0000-0002-0447-9915
Abdullah DalbohSurgery Department, College of Medicine, King Khalid University, P.O. 641, 61421, Abha, Saudi Arabia.ORCID 0000-0002-8964-0455
Hassan A AlzahraniSurgery Department, College of Medicine, King Khalid University, P.O. 641, 61421, Abha, Saudi Arabia.ORCID 0000-0003-0712-1959
Marei H AlshandeerSurgery Department, College of Medicine, King Khalid University, P.O. 641, 61421, Abha, Saudi Arabia.ORCID 0000-0001-9764-3333
Abdullrahman M BawahabCollege of Medicine, King Khalid University, Abha, Saudi Arabia.ORCID 0000-0002-5977-0267
Mohamed H SultanExperimental Surgery Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Funding

Deanship of Scientific Research, King Khalid University RGP1/333/45
6 · The paper itself

Abstract

objectiveTo assess the feasibility and outcomes of immediate breast reconstruction using a dermal sling and polypropylene mesh for fixation after skin-reducing mastectomy with prepectoral prosthesis placement in patients with large breasts who were diagnosed with cancer.

methodsThis retrospective study included demographic and clinical data from female patients with breast cancer and large breasts, who were candidates for skin-reducing mastectomy and immediate reconstruction. Data regarding operative technique, implant size, operative duration, and intraoperative complications were retrieved. Early and late postoperative complications were recorded. Routine assessment of postoperative patient satisfaction was performed using the Breast Reconstruction Satisfaction Questionnaire.

resultsThe study included data from 49 female patients with a mean (± SD) age of 40.88 ± 8.03 years; the mean follow-up was 31.5 ± 8.1 months. The operation was successful in 47 (95.9%) patients, whereas reconstruction failed in 2. Capsule contracture occurred in 9 (18.4%) patients, 4 of whom required capsulectomy. Severe wound infections occurred in 2 (4.1%) patients, 1 of whom was treated conservatively. Implant exposure occurred in 2 (4.1%) patients, 1 of which was managed using a skin rotational flap. Five (10.2%) patients experienced mildly impaired range of motion. Forty-four (90.0%) patients reported postoperative satisfaction, with 3 expressing satisfaction only when postoperative complications were treated.

conclusionsThe prepectoral approach using a combined synthetic mesh and dermal sling yielded a good solution for patients with large breasts. The technique was associated with minimal complications, yielded good postoperative patient satisfaction, and is affordable. The results of using a synthetic mesh appeared to be equivalent to those of ADM. LEVEL OF EVIDENCE IV: 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 www.springer.com/00266 .

Indexed as

Breast ImplantationBreast NeoplasmsMammaplastyMastectomy, SubcutaneousSurgical MeshAdultBreast ImplantsCohort StudiesEstheticsFeasibility StudiesFemaleFollow-Up StudiesHumansMastectomyMiddle AgedPatient SatisfactionPolypropylenesBreast cancerBreast reconstructionLarge breastOncoplastic surgeryPrepectoral approachSynthetic mesh

Identifiers

PMID39586862

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.