Evidence map›Paper›PMID 40330162›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Autoderm in Direct-to-implant Prepectoral Breast Reconstruction Decreases Perioperative Complication Rates and Improves Reconstructive Outcomes.

Suphalerk Lohasammakul, Mandy Flor, Swetha Reddy, Sean Chaiyasate, Jesse C Selber, Kongkrit Chaiyasate

Abstract read
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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 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Suphalerk LohasammakulFrom the Department of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Mandy FlorDepartment of Plastic and Reconstructive Surgery, Corewell Health East William Beaumont University Hospital, Royal Oak, MI.
Swetha ReddyWayne State University School of Medicine, Detroit, MI.
Sean ChaiyasatePenny W. Stamps School of Art and Design, University of Michigan, Ann Arbor, MI.
Jesse C SelberDepartment of Plastic and Reconstructive Surgery, Corewell Health East William Beaumont University Hospital, Royal Oak, MI.
Kongkrit ChaiyasateDepartment of Plastic and Reconstructive Surgery, Corewell Health East William Beaumont University Hospital, Royal Oak, MI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Wise pattern skin incision in breast reconstruction following mastectomy facilitates removal of skin excess in patients with large and ptotic breasts. The trifurcation of the inverted-T incision poses increased risk of infection and reconstructive failure in implant reconstruction. Autoderm has been described in subpectoral implant-based reconstruction. In this case series, it is described in prepectoral implant-based reconstruction. Methods: A retrospective review of breast cancer patients who underwent either unilateral or bilateral skin-reducing mastectomy via immediate prepectoral implant-based breast reconstruction in conjunction with an inferiorly based autoderm flap for implant coverage between February 2022 to April 2024 was performed and compared with previously published Wise pattern outcomes. Results: Ten patients (15 breasts) underwent immediate prepectoral implant-based breast reconstruction with an inferiorly-based autoderm flap. Implant sizes ranged from 300 to 800 mL. Autoderm was able to cover the implant under the inverted-T incision in 13 breasts, whereas 1 breast required extension of the dermal flap using acellular dermal matrix. No major complications were observed in this study. One patient developed delayed wound healing in 1 breast that was managed nonoperatively. The test of 2 proportions was used to compare complications to published rates. Rate of delay wound healing showed no significant difference ( Conclusions: The inferiorly based autoderm flap in immediate prepectoral implant-based breast reconstruction is a safe and effective option in managing patients with large and ptotic breasts that reduces the rate of infection and reconstructive failure.

Identifiers

PMID40330162
PMCPMC12055072

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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.