Evidence map›Paper›PMID 40115039›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Laser Speckle Flowgraphy Can Support Intraoperative Assessment of Deep Inferior Epigastric Perforator Flap Blood Flow With Indocyanine Green.

Kazuhiro Tsunekawa, Daisuke Yanagisawa, Shunsuke Yuzuriha

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. 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

3 authors.

Kazuhiro TsunekawaFrom the Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Daisuke YanagisawaFrom the Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Shunsuke YuzurihaFrom the Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Accurately evaluating cutaneous blood flow during the elevation of a deep inferior epigastric perforator (DIEP) flap may reduce postoperative complications in breast reconstruction surgery. This study examined whether laser speckle flowgraphy (LSFG) could be used to help objectively identify the safe areas of DIEP flaps. Methods: Forty-eight patients who underwent unilateral breast reconstruction with a DIEP flap at Shinshu University Hospital between 2020 and 2024 were prospectively studied. During flap elevation, skin blood flow throughout the flap was measured using LSFG and compared with results obtained by indocyanine green (ICG) angiography. The cohort was also divided according to the number and location of perforators, and an intergroup comparison was performed according to LSFG readings. Results: In all subjects, relative LSFG blood flow in zones 2 (89.1%) and 3 (87.9%) was comparable, whereas blood flow in zone 4 (72.8%) was significantly lower than in those areas (both Conclusions: LSFG enables objective, noninvasive evaluation of safety margins in DIEP flaps that may support ICG angiography. Safe zones may vary depending on the location of the selected perforator.

Identifiers

PMID40115039
PMCPMC11925408

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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.