Evidence map›Paper›PMID 42135693›Full record

Trial reportBMC surgery2026

Investigation of oral bromelain supplementation on the healing of skin flap reconstruction after Mohs micrographic surgery (MMS) for non-melanoma skin cancers (NMSCs).

Ehsanollah Rahimi-Movaghar, Amir Ehtemami, Melina Ghaneiyan, Tahmineh Tahouri, Sahand Hedayati Omami, Hila Fahimi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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.

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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

6 authors.

Ehsanollah Rahimi-MovagharDepartment of Surgery, TeMS.C., Islamic Azad University, Tehran, Iran.
Amir EhtemamiIran Azad University of Medical Sciences, Tehran Medical Branch, Tehran, Iran. amir.ehtem@gmail.com.
Melina GhaneiyanIran Azad University of Medical Sciences, Tehran Medical Branch, Tehran, Iran.
Tahmineh TahouriCardiovascular Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.
Sahand Hedayati OmamiIran Azad University of Medical Sciences, Tehran Medical Branch, Tehran, Iran.
Hila FahimiDepartment of Economic Statistics, Allameh Tabataba`i University, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNon-melanoma skin cancers (NMSCs) are the most common malignancies and Mohs micrographic surgery (MMS) with flap reconstruction is the treatment of choice. This study aims to investigate the effect of bromelain on the healing of skin flaps following MMS for NMSCs.

methodsIn a single-center, parallel-group, single-blinded randomized clinical trial, 60 patients with NMSC who underwent MMS and flap reconstruction were assigned (1:1) to either an intervention group receiving bromelain (1500 mg/day, Rataheal™) for 15 days postoperatively or a control group receiving standard care alone. The primary outcome was time to suture removal; the early wound healing score (EWHS) was recorded supportively. Secondary outcomes included pain, inflammation, keloid/scar formation, cosmetic satisfaction, and traction quality.

resultsBaseline characteristics (age: 69.2 ± 13.5 years; 71.7% male; flap size: 116.1 ± 7.0 mm

conclusionBromelain supplementation is associated with earlier postoperative wound healing of skin flaps following MMS for NMSC, leading to 2.6 days earlier suture removal plus improvement in the EWHS without adverse effects. Our findings support the potential of bromelain as a safe and effective adjunct therapy for reconstructive skin cancer surgery.

trial registrationIranian Registry of Clinical Trials (IRCT20240903062943N1|| https://irct.behdasht.gov.ir/trial/79056 ), 2024.10.28, enrollment started after registration.

Indexed as

BromelainsMohs SurgeryNon-Melanoma Skin NeoplasmsPlastic Surgery ProceduresSkin NeoplasmsSurgical FlapsWound HealingAdministration, OralAgedFemaleHumansMaleMiddle AgedSingle-Blind MethodBromelainsBasal cell carcinomaBromelainDietary supplementsHead and neck neoplasmsMohs surgerySkin neoplasmsSquamous cell carcinomaSurgical flapWound healing

Identifiers

PMID42135693
PMCPMC13274001

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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.