Evidence map›Paper›PMID 39995477›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Outcomes and Current State of Deep Inferior Epigastric Perforator Flap Surgery in Peru and Mexico.

Otto Rolando Ziegler Rodriguez, Gabriel De La Cruz-Ku, Juan Rafael Ludeña Muñoz, Juan Enrique Rodriguez Valdivia, Christian Gerardo Ramos-Acevedo, Eduardo Medina Flores, Hector Vicuña Urbina, Miguel De La Parra-Marquez, Mauricio Manuel García-Pérez, Ignacio González-García

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. 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. Global Perspectives in Plastic Surgery: View of Plastic Surgeons From Peru.Plastic and reconstructive surgery. Global open · 2026
    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

10 authors.

Otto Rolando Ziegler RodriguezDepartment of Aesthetic, Plastic and Reconstructive Surgery, Clinica Ziegler, Lima, Peru.
Gabriel De La Cruz-KuUniversidad Científica del Sur, Lima, Peru.
Juan Rafael Ludeña MuñozPlastic and Reconstructive Surgery, Clinica Delgado-Oncosalud, Lima, Peru.
Juan Enrique Rodriguez ValdiviaDepartment of Plastic and Reconstructive Surgery, Hospital Edgardo Rebagliati Martins, Lima, Peru.
Christian Gerardo Ramos-AcevedoPlastic and Reconstructive Surgery Service, Unidad Médica de Alta Especialidad-Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico.
Eduardo Medina FloresPlastic, Reconstructive and Microsurgery Service, Hospital Star Médica, Mérida, Mexico.
Hector Vicuña UrbinaDepartment of Plastic and Reconstructive Surgery, Hospital Edgardo Rebagliati Martins, Lima, Peru.
Miguel De La Parra-MarquezPlastic, Reconstructive and Microsurgery Department, Social Security Mexican Institute, Monterrey, Mexico.
Mauricio Manuel García-PérezPlastic, Aesthetic and Reconstructive Surgery Service, University Hospital "Dr. José Eleuterio González," Universidad Autónoma de Nuevo León, Nuevo León, Mexico.
Ignacio González-GarcíaMicrosurgery Department, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In developing countries, breast reconstruction has multiple barriers, especially related to microsurgical procedures. Our aim was to describe the characteristics and outcomes of patients who underwent deep inferior epigastric artery perforator (DIEP) flap in 2 Latin American countries (Peru and Mexico) performed by recent postgraduate microsurgery fellows. Methods: A retrospective study of a case series of breast cancer patients who underwent DIEP flap surgery in 5 surgery centers in 2 different countries, Peru and Mexico, was conducted. Results: A total of 45 female patients were included, the mean age was 47.62 years with a median body mass index of 24.91 kg/m Conclusions: Due to the multiple healthcare barriers in these countries, a very low number of DIEP flaps are performed in Peru and Mexico. Outcomes were worse in Peru compared with Mexico, with complication rates similar to those of other Latin American countries but higher than those of interventions performed in more experienced hands in the United States and Europe.

Identifiers

PMID39995477
PMCPMC11850047

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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.