Evidence map›Paper›PMID 42375705›Full record

ReviewJPRAS open2026

Exosome therapy for flap and skin graft survival: A systematic review and meta-analysis of preclinical evidence.

Alexander A W Perkasa-Hendropriyono, David S Perdanakusuma, Dwikora N Utomo, Budiman Budiman, Sepehr S Lajevardi, Gazi Hussain, Anand K Deva

Abstract readReview
In one paragraph

Review in JPRAS open, 2026. 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

7 authors.

Alexander A W Perkasa-HendropriyonoDoctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Indonesia.
David S PerdanakusumaDoctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Indonesia.
Dwikora N UtomoDoctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Indonesia.
Budiman BudimanDepartment of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Syiah Kuala, Indonesia.
Sepehr S LajevardiDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia.
Gazi HussainDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia.
Anand K DevaDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Flap necrosis and graft failure remain significant sources of morbidity in reconstructive and aesthetic surgery, yet no cell-free biological adjunct has been established to improve tissue survival after transfer. Exosomes are nano-sized extracellular vesicles capable of simultaneously modulating angiogenesis, inflammation, apoptosis, and oxidative stress, and have been investigated as candidate regenerative adjuncts in plastic surgery. This PROSPERO-registered systematic review and meta-analysis (CRD420251146650), conducted per PRISMA 2020, searched PubMed, OVID, Scopus, Web of Science, and Google Scholar through September 2025 and included 24 animal studies (19 flap; 5 skin graft). Flap and graft studies were analysed as separate populations. Random-effects meta-analysis suggested increased flap survival (

Indexed as

AngiogenesisExosomeExtracellular vesicleFlapMeta-AnalysisSkin graft

Identifiers

PMID42375705
PMCPMC13311139

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.