What is it about?

The research aim was to find out if radiation to the blood vessels that are connected to the reconstructed breast causes higher complication rates.

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Why is it important?

Breast reconstruction is currently an inseparable part of breast cancer surgery in most of the western world. Autologous, meaning using one's tissue, breast reconstruction may help achieve excellent aesthetic and symmetrical following breast cancer surgery. Radiation is an essential part of cancer treatment may affect the future reconstruction considerations. This study looked at the surgical implications of radiation to the area in which the blood vessels critical to the reconstruction pass. As many surgeons feel, the radiated area is compromised to an extent, leading to a higher complication rate.

Perspectives

It is a pleasure to see how our reconstructive options expand to the point where we can offer safe, beautiful breast reconstructions for a large variety of breast and body shapes and sizes. The current publication validates our surgical intuition radiation to the recipient's vessels compromises the area an may impact the final reconstructive result. Non the less, great results can be achieved following breast cancer surgery and radiation with planning and consultation with an experienced board-certified plastic surgeon.

Dr Or Friedman
Tel Aviv Sourasky Medical Center

Read the Original

This page is a summary of: DIEP Flap Breast Reconstruction Complication Rate in Previously Irradiated Internal Mammary Nodes, Journal of Reconstructive Microsurgery, April 2018, Thieme Publishing Group, DOI: 10.1055/s-0038-1625986.
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