Evidence map›Paper›PMID 42536155›Full record

ArticleSurgery today2026

Modified abdominal advancement flap with or without the Ochikomanai method: Oncoplastic surgery using a simple volume replacement technique.

Erina Hatakawa, Kaho Nakamura, Rena Yamakado, Miyuko Yoshikawa, Mai Shibusawa, Mao Kimoto, Nao Imai, Makoto Ishitobi, Kousuke Kawaguchi, Tomoko Ogawa

Abstract read
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Article in Surgery today, 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

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

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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.

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.

Erina HatakawaDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Kaho NakamuraDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Rena YamakadoDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Miyuko YoshikawaDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Mai ShibusawaDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Mao KimotoDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Nao ImaiDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Makoto IshitobiDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan.
Kousuke KawaguchiDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan. kawa-k@med.mie-u.ac.jp.
Tomoko OgawaDepartment of Breast Surgery, Mie University Graduate School of Medicine, Mie, 2-174 Edobashi, Tsu, 514-8507, Japan. mokomoko@med.mie-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the usefulness of modified abdominal advancement flap (modified AAF) with and without the Ochikomanai method for breast-conserving surgery (BCS) based on cosmetic results and patient satisfaction.

methodsWe conducted a retrospective cohort study focusing on the usefulness of the modified AAF, based on cosmetic results and patient satisfaction, in 88 patients (89 breasts) who underwent BCS using the modified AAF with or without the Ochikomanai method. A historical cohort of patients who underwent standard AAF was used for comparison.

resultsTen patients (11%) had complications; however, no fat necrosis was observed, and all complications improved with conservative treatment. With regard to cosmetic results, 41 breasts (58%) were rated excellent, 26 (37%) were rated good, and only 4 ([6%]) were unacceptable, all of which were rated fair. Patients with medium- or larger-sized breasts and older patients who underwent BCS using the modified AAF had acceptable cosmetic results. More than 89% of the patients indicated that they were somewhat or very satisfied in all 8 categories, except for physical limitations in the immediate postoperative period.

conclusionBCS using a modified AAF, with or without the Ochikomanai method, is a useful technique for many patients, including those who are older and those with relatively large breasts.

Indexed as

Breast cancerBreast-conserving surgeryOncoplastic surgeryReconstructive surgical procedureVolume replacement technique

Identifiers

PMID42536155

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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.