Evidence map›Paper›PMID 42897245›Full record

ArticleAesthetic plastic surgery2026

Does Suction Strategy Using a Negative-Pressure Wound Therapy System at the Extended Latissimus Dorsi Flap Donor Site After Breast Reconstruction Contribute to a Reduction in Seroma Formation?

Keisuke Shimbo

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Article in Aesthetic plastic 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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1 · What the graph read from it

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

1 author.

Keisuke ShimboDepartment of Plastic and Reconstructive Surgery, Hiroshima Prefectural Hospital, 5-54 Ujinakanda, Hiroshima, Japan. k_s08_10hyogo@hotmail.com.ORCID http://orcid.org/0000-0003-0761-4147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the impact of different drainage systems on seroma formation at the donor site following breast reconstruction with extended latissimus dorsi (ELD) flaps.

methodsA retrospective chart review included all patients who underwent ELD flap breast reconstruction between January 2014 and December 2025. Patients were divided into two groups: high-negative-pressure drainage using a negative-pressure wound therapy (NPWT) device and conventional drainage. One-to-one propensity score matching based on age and body mass index minimized selection bias.

resultsThe initial cohort included 64 patients (NPWT: n = 26; conventional: n = 38), and propensity score matching yielded 22 pairs. In the propensity-matched cohort, the median daily drainage volume on postoperative day 11 (immediately before drain removal) was significantly lower in the NPWT group than in the conventional group (22.0 [IQR: 14.0-31.5] mL/day vs. 45.0 [IQR: 34.3-56.3] mL/day; p = <0.001). However, no significant between-group differences were observed in the rate of postoperative seroma formation (72.7% vs. 86.4%; p = 0.457), median total aspirated volume after drain removal (46.5 [IQR: 2.3-124.3] mL vs. 79.5 [IQR: 44.0-145.3] mL; p = 0.294), or median duration of seroma persistence (2.0 [IQR: 0.3-3.8] weeks vs. 4.0 [IQR: 3.0-5.0] weeks; p = 0.083).

conclusionsDrainage using the NPWT device did not significantly prevent donor-site seroma formation compared with conventional drainage. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Breast reconstructionDrain suctionExtended latissimus dorsi flapNegative-pressure wound therapySeroma

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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.