Evidence map›Paper›PMID 40248398›Full record

ArticleHealth science reports2025

Breast Reconstruction After Mastectomy Using a Deep Inferior Epigastric Perforator (DIEP) Flap: Clinical and Medico-Legal Insights From a Four-Year Study.

Demetris Savva, Giulio Nittari, Filippo Gibelli, Giovanna Ricci, Savvas Dalitis, Antonia Fotiou, Phanos Michael

Abstract read
In one paragraph

Article in Health science reports, 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. 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

7 authors.

Demetris SavvaDepartment of Plastic Reconstructive and Aesthetic Surgery Nicosia General Hospital Nicosia Cyprus.
Giulio NittariSchool of Pharmaceutical Sciences and Health Products University of Camerino Camerino Italy.ORCID 0000-0002-7918-8442
Filippo GibelliSection of Legal Medicine, School of Law University of Camerino Camerino Italy.
Giovanna RicciSection of Legal Medicine, School of Law University of Camerino Camerino Italy.
Savvas DalitisDepartment of Plastic Reconstructive and Aesthetic Surgery Nicosia General Hospital Nicosia Cyprus.
Antonia FotiouDepartment of Plastic Reconstructive and Aesthetic Surgery Nicosia General Hospital Nicosia Cyprus.
Phanos MichaelDepartment of Plastic Reconstructive and Aesthetic Surgery Nicosia General Hospital Nicosia Cyprus.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Breast reconstruction after mastectomy is nowadays a gold standard in therapy of breast cancer patients. Free deep inferior epigastric perforator (DIEP) flap reconstruction is a favorable method when traditional implants fail or are not viable, especially after radiotherapy. The aim of this paper is to present the results of a case series study of 40 patients operated on with DIEP flap from January 2020 to October 2023, in Plastic, Reconstructive and Aesthetic Surgery Department in Nicosia General Hospital, Cyprus, complications and wound management, reoperation rates, as well as to examine these results from a medico-legal perspective, to highlight the most significant medico-legal implications of this demanding, surgical procedure. Method: Forty patients were included in this study with unilateral or bilateral free DIEP reconstruction, from January 2020 to October 2023, in Plastic, Reconstructive and Aesthetic Surgery Department in Nicosia General Hospital, Cyprus. Demographics, preoperative conditions, hospitalization days, complication rates, and reoperation rates were analyzed as well as satisfaction rates of patients were evaluated. Results: This original article highlighted a number of issues of strict medico-legal interest, including the importance of informed consent in the case of demanding procedures for reconstructive and esthetic purposes, the assessment of standards of care in the evaluation of medical liability, and the existence of an obligation of means or results on the reconstructive surgeon's part. Conclusions: DIEP breast reconstruction after mastectomy is a challenging but safe and with well postoperative results operation that should be employed in cases traditional implant reconstruction fail or not feasible due to other parameters. Innovative and demanding reconstructive, esthetic surgery procedures are characterized by particularly significant aspects of medico-legal interest, which deserve careful consideration by both the scientific community and patients involved.

Indexed as

anatomyglobal healthhealthcare managementoncology

Identifiers

PMID40248398
PMCPMC12003920

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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.