Evidence map›Paper›PMID 40985016›Full record

ArticleJournal of surgical case reports2025

Pedicled transverse rectus abdominis myocutaneous flap removal after 21 years: a case report.

Natasha Lim, Lee Chee Meng, Marissa Teo, Allen Wei-Jiat Wong

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Natasha LimSengkang General Hospital Singapore, Department of General Surgery, Singapore 544886, Singapore.ORCID https://orcid.org/0009-0001-2888-6371
Lee Chee MengSengkang General Hospital Singapore, Department of Breast, Trauma, General Surgery, Singapore 544886, Singapore.
Marissa TeoSengkang General Hospital Singapore, Department of Pathology, Singapore 544886, Singapore.
Allen Wei-Jiat WongSengkang General Hospital Singapore, Plastic, Reconstructive and Aesthetic Service, Department of Surgery, Singapore 544886, Singapore.ORCID https://orcid.org/0000-0001-7924-5155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the widespread use of free abdominal based flaps for autologous breast reconstruction, the pedicled transverse rectus abdominis myocutaneous (p-TRAM) flap remains a popular alternative. Although the p-TRAM flap has been commonly utilized since the 90s, there is a paucity of information on the long-term changes that occur in the p-TRAM flap with the passage of time. Imaging studies have demonstrated changes in muscle volumes and fatty attenuation of myocutaneous flaps over time. However, the use of a histopathological approach in analysing the changes in a myocutaneous flap is rarely done as rarely do patients undergo a removal of a healthy flap. Our report seeks to show the loss of the muscle volume over time through a histopathological approach in a patient who underwent p-TRAM Flap removal after 21 years.

Indexed as

fatty attenuation of myocutaneous flapsloss of muscle volume of myocutaneous flapspedicled transverse rectus abdominis myocutaneous flap

Identifiers

PMID40985016
PMCPMC12450347

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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.