Evidence map›Paper›PMID 40736617›Full record

ArticleSurgery today2026

An original flap fixation technique with suturing to the fascia of serratus anterior for reducing seroma after mastectomy: a single-center retrospective study.

Yukako Mouri, Masayuki Saito, Kanna Ozaki, Hirona Banno, Manami Goto, Mirai Ido, Takahito Ando, Junko Kousaka, Kimihito Fujii, Tsuneo Imai and 2 more

Abstract read
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In one paragraph

Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Yukako MouriDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan. yukam@aichi-med-u.ac.jp.
Masayuki SaitoDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Kanna OzakiDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Hirona BannoDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Manami GotoDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Mirai IdoDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Takahito AndoDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Junko KousakaDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Kimihito FujiiDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Tsuneo ImaiDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Shogo NakanoDepartment of Breast and Endocrine Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.
Wataru OhashiDivision of Biostatistics, Clinical Research Center, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-city, Aichi Prefecture, 4801195, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeroma formation is a common complication of mastectomy. Recently, flap fixation using sutures was shown to significantly reduce the number of seroma aspirations. We attempted a new flap fixation technique to reduce seromas in patients undergoing mastectomy with a sentinel node biopsy (SLNB).

methodsAt Aichi Medical University, 469 patients with clinical stage 0-II breast cancer underwent mastectomy with an SLNB in 2018-2022. There were 47 patients who underwent flap fixation using sutures (study group) and 422 who underwent conventional wound closure (control group).

resultsIn patients undergoing mastectomy with an SLNB, the drainage tube was removed within five days in the control group and three days in the study group. The median total in-hospital drainage volumes were 200 mL in the control group and 114 mL in the study group. After discharge, the study group had fewer seroma aspirations than did the control group. The total seroma volumes were 242 mL in the control group and 134 mL in the study group (p < 0.001). These results were the similar regardless of body mass index.

conclusionsOur flap fixation technique resulted in approximately half of the usual total drainage volume. Many patients do not require outpatient visits for seroma aspiration, thus simplifying postoperative management.

Indexed as

Breast NeoplasmsFasciaMastectomyPostoperative ComplicationsSeromaSurgical FlapsSuture TechniquesAdultAgedDrainageFemaleHumansMiddle AgedRetrospective StudiesSentinel Lymph Node BiopsyBreast cancerFlap fixation with suturesMastectomyReduced drainage volumeSeroma

Identifiers

PMID40736617

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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.