Evidence map›Paper›PMID 40355619›Full record

Trial reportAesthetic plastic surgery2025

Quilting Sutures and Suction Drains in Preventing Postoperative Complications in Gynecomastia Surgery.

Fernando Campos Moraes Amato, Miguel Sabino Neto, Marcelo Moraes Trincado, Paulo Maranhão Gusmão Pincovsky de Lima, Laís Uyeda Aivazoglou, Fernanda Garozzo Velloni, Gabriel de Almeida Arruda Felix, Lydia Masako Ferreira

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Aesthetic plastic surgery, 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

8 authors.

Fernando Campos Moraes AmatoDivision of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil. fernando@amato.com.br.ORCID 0000-0001-7068-0820
Miguel Sabino NetoDivision of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
Marcelo Moraes TrincadoDivision of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
Paulo Maranhão Gusmão Pincovsky de LimaDivision of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
Laís Uyeda AivazoglouDepartment of Radiology, Federal University of São Paulo, São Paulo, SP, Brazil.
Fernanda Garozzo VelloniDepartment of Radiology, Federal University of São Paulo, São Paulo, SP, Brazil.
Gabriel de Almeida Arruda FelixDivision of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.
Lydia Masako FerreiraDivision of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740 - 2º andar, Vila Clementino, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGynecomastia is characterized by enlarged breast tissue in men and is often caused by genetic or endocrinological disorders, cancer, or medication use, with idiopathic causes being the most common. If no clinically treatable cause is identified and the condition persists for more than two years, surgical treatment is indicated. This typically involves adenectomy with or without liposuction and resection of excess skin when necessary. Major complications include hematoma, seroma, infection, and dehiscence. Quilting sutures, as previously described in abdominoplasty, can minimize dead space and reduce hematoma and seroma formation.

objectiveThis study aimed to compare the efficacy of quilting sutures and suction drains in preventing hematoma and seroma formation after adenectomy for gynecomastia.

methodsThirty-eight gynecomastia patients eligible for adenectomy were randomized into two groups: one with intraoperative quilting sutures (Group 1) and another with vacuum drains (Group 2). The patients were followed up postoperatively using clinical examinations and ultrasonography. Fluid collection > 10 mL was drained when necessary.

resultsEight patients in Group 1 (40%) and five in Group 2 (28%) developed fluid collections, with no significant difference between the groups. No surgical correction was required for hematoma or seroma. Suction drains seem to give better results regarding seroma, but with no statistical difference.

conclusionThis study showed no difference in the use of drains or quilting sutures to prevent seromas or hematomas in the correction of gynecomastia. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

GynecomastiaMammaplastyPostoperative ComplicationsSuture TechniquesAdultEstheticsFollow-Up StudiesHematomaHumansLipectomyMaleMiddle AgedRisk AssessmentSeromaSuctionTreatment OutcomeGynecomastiaHematomaSeromaSuction drainageSuture technique

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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.