EFFICACY OF DIEP INFERIOR EPIGASTRIC PERFORATOR FLAP FOR IMMEDIATE BREAST RECONSTRUCTION FOLLOWMASTECTOMY IN BREAST CANCER PATIENTS STAGE I-II

Phạm Quang Đạo1,, Phạm Thị Việt Dung1, Nguyễn Xuân Hậu1
1 Hanoi Medical University

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Abstract

Objectives: The aim of this study was to summarize our experience in DIEP flap for immediate breast reconstruction. Patients and methods: Retrospective, descriptive study on 30 patients in stage I-IIwho underwent intermediated breast reconstruction for DIEP flap after mastectomy in Hanoi Medical University Hospital. Result: The mean age of patients was 44.9 years. 86.7% patients were in stage I and II. Six patients (20%) received neoadjuvant chemotherapy. 20 patients (66.7%) underwent nipple-sparing mastectomy (NSM) procedures. Mean operating time was 341 minutes. Mean time to receive chemotherapy was 34.68 days. 8 patients (26,67%) experienced early complications. Five patients (16.7%) returned to the operating room due to: venous occlusions (2), venous congestions (3). Two had complete flap loss. 6 patients (20%) experienced late complications which contain: fat necrosis, seroma. Conclusion: DIEP flap is a new but reliable and safe technique for autologous breast reconstruction. But patients opting for breast reconstruction also have risk of complication, reconstruction failure.

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References

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