Evidence map›Paper›PMID 41322736›Full record

ArticleCureus2025

Extensive Mastectomy Skin Flap Necrosis Triggered by Hypertension, Psychological Stress, and Prolonged Operative Time Due to Intraoperative Needle Loss: A Case Report.

Yudai Kaneda, Kenji Gonda, Akihiko Ozaki, Toyoaki Sawano, Takuya Oku, Tomohiro Kurokawa, Kazunoshin Tachibana, Masahiro Wada, Yoshiaki Kanemoto, Hiroaki Shimmura

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 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

10 authors.

Yudai KanedaClinical Training Center, Jyoban Hospital of Tokiwa Foundation, Iwaki, JPN.
Kenji GondaDepartment of Breast Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, JPN.
Akihiko OzakiDepartment of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Founation, Iwaki, JPN.
Toyoaki SawanoDepartment of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, JPN.
Takuya OkuDepartment of Surgery, Yokohama Asahi Central General Hospital, Yokohama, JPN.
Tomohiro KurokawaDepartment of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, JPN.
Kazunoshin TachibanaDepartment of Breast Surgery, Fukushima Medical University, Fukushima, JPN.
Masahiro WadaBreast and Thyroid Center, Jyoban Hospital of Tokiwa Foundation, Fukushima, JPN.
Yoshiaki KanemotoDepartment of Surgery, Jyoban Hospital, Iwaki, JPN.
Hiroaki ShimmuraDepartment of Urology, Jyoban Hospital, Iwaki, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mastectomy skin flap necrosis (MSFN) is a frequent complication influenced by multiple factors. We report a 73-year-old woman with untreated hypertension and preoperative anxiety who developed extensive MSFN after mastectomy. Intraoperative loss of a suture needle prolonged operative time by approximately one hour, contributing to progressive flap necrosis requiring repeated debridement and negative pressure wound therapy. This case was documented to highlight the importance of recognizing how overlooked comorbidities, psychological stress, and intraoperative incidents can interact to exacerbate postoperative complications such as MSFN.

Indexed as

breast cancerhypertensionmastectomy skin flap necrosisoperative timepreoperative anxiety

Identifiers

PMID41322736
PMCPMC12662649

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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.