Evidence map›Paper›PMID 39908748›Full record

ArticleClinics (Sao Paulo, Brazil)2025

Effect of adipose-derived mesenchymal stem cells on the viability of the transverse rectus abdominis myocutaneous flap in rats.

André Luiz Pires de Freitas, Sang Won Han, Priscila Keiko Matsumoto Martin, Lydia Masako Ferreira

Abstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 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. Ischial Pressure Ulcer Reconstruction: A Critical Review of the Paradigm Shift From Wound Coverage to Functional Restoration.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Review
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.

André Luiz Pires de FreitasDivision of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Electronic address: ppg.plastica@unifesp.br.
Sang Won HanMSc Interdisciplinary Center for Gene Therapy (CINTERGEN), Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Priscila Keiko Matsumoto MartinDepartment of Experimental Research, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Lydia Masako FerreiraDivision of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Transverse Rectus Abdominis Myocutaneous (TRAM) flap is used for breast reconstruction, but involves the risk of necrosis. Adipose tissue-derived mesenchymal Stem Cells (ADSCs) can be used to stimulate neovascularization and reduce the risk of TRAM flap necrosis.

aimDetermine the effect of ADSCs on TRAM flap viability in rats.

methodsTwenty-four Wistar-EPM rats were distributed into three groups (n = 8). A right caudal pedicled TRAM flap was performed in all the animals and was the only procedure performed in Group TRAM. The additional procedures of intradermal injection of α-MEM culture medium and intradermal injection of α-MEM containing ADSCs labeled with a fluorescent marker were performed in Groups α-MEM and α-MEM-SC, respectively. The percentage of flap necrosis was determined, and the level of neovascularization and distribution of stem cells in the TRAM flap was assessed using immunohistochemical analysis and fluorescence microscopy, respectively.

resultsThe percentage of necrosis observed in Group α-MEM-SC was lower than that observed in Groups TRAM and α-MEM, namely 23.36 % vs. 50.42 % and 53.57 %, respectively (p < 0.05). In Zone IV of the flap, the number of vessels was greater in Group α-MEM-SC than in the other groups (p < 0.05). Multiple stem cells were observed in the four zones of the flap in Group α-MEM-SC. No stem cells were observed in Groups TRAM or α-MEM.

conclusionADSCs increased TRAM flap viability and the number of vessels in Zone IV of the flap in rats.

Indexed as

Adipose TissueMesenchymal Stem CellsMesenchymal Stem Cell TransplantationMyocutaneous FlapRectus AbdominisSurgical FlapsAnimalsGraft SurvivalImmunohistochemistryMaleMicroscopy, FluorescenceNecrosisNeovascularization, PhysiologicRatsRats, WistarMesenchymal stem cell transplantationMyocutaneous flapNecrosisRatsRectus abdominis

Identifiers

PMID39908748
PMCPMC11847128

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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.