Evidence map›Paper›PMID 40940989›Full record

ArticleCancers2025

Is Antibiotic Prophylaxis Necessary in Mastectomy with Antimicrobial Sutures? A Comparative Analysis.

Samuli Pajaanti, Carlo M Oranges, Pietro Giovanni di Summa, Salvatore Giordano

Abstract read
In one paragraph

Article in Cancers, 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

4 authors.

Samuli PajaantiDepartment of Plastic and General Surgery, Turku University Hospital, 21000 Turku, Finland.
Carlo M OrangesDepartment of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, University of Geneva, 1201 Geneva, Switzerland.ORCID 0000-0003-1735-5329
Pietro Giovanni di SummaDepartment of Plastic and Hand Surgery, University Hospital of Lausanne (CHUV), University of Lausanne, 1011 Lausanne, Switzerland.ORCID 0000-0002-1431-4479
Salvatore GiordanoDepartment of Plastic and General Surgery, Turku University Hospital, 21000 Turku, Finland.ORCID 0000-0001-5981-6870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesSurgical site infection (SSI) rates following breast surgical procedures range from 0.8% to 26%. Both prophylactic antibiotics and antimicrobial-coated sutures have been shown to play an important role in reducing these complications. This study aimed to evaluate the impact of antibiotic prophylaxis in mastectomy procedures using triclosan-coated sutures.

methodsThis study included 300 consecutive patients who underwent mastectomy for breast cancer over a two-year period, during which triclosan-coated Vicryl Plus sutures were used. Patients were divided into two groups based on the use of antibiotic prophylaxis. The prophylaxis group received 1.5 g cefuroxime intravenously at anesthesia induction (600 mg clindamycin in case of allergy), while the control group received no antibiotics. Endpoints of interest included differences in SSI and specific wound-healing complications at follow-up.

resultsThere was no significant difference in the overall SSI rates between the two groups: 23.2% in the prophylaxis group vs. 18.8% in the control group [odds ratio (OR): 0.88; 95% confidence interval (CI): 0.69-1.13; vs. OR: 1.16; 95% CI 0.85-1.58;

conclusionsAntibiotic prophylaxis did not reduce the rate of SSI following mastectomy for breast cancer when triclosan-coated sutures were used. Further high-quality, independent studies are warranted, particularly in breast surgery context.

Indexed as

absorbable sutureantibacterialantibiotic prophylaxisbreast cancerbreast surgerymastectomysurgical site infection

Identifiers

PMID40940989
PMCPMC12427672

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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.