Importantly, the overall cosmetic outcome in patients who underwent postoperative irradiation was comparable to that of those who did not. Although some degree of flap shrinkage was noted in 30 percent of patients treated with postoperative radiotherapy, only 10 percent of patients experienced severe breast distortion. There were 15 major complications (8.8 percent), but adjuvant postoperative therapy was delayed in only eight patients (4.7 percent), with the maximum delay lasting 3 weeks in one patient. The average age was 47 years and the average hospital stay was 5.1 days. RESULTS: One hundred seventy patients were identified who underwent 157 unilateral and 13 bilateral reconstructions (183 flaps) predominantly by means of free transverse rectus abdominis musculocutaneous flaps (n = 162).
Complication rates and reconstructive aesthetics were determined. METHODS: Over a 10-year period, patients diagnosed with stage IIB or greater breast cancer treated with mastectomy followed by immediate breast reconstruction were identified and analyzed. This study evaluates its safety in patients with advanced-stage breast cancer. However, immediate breast reconstruction for advanced-stage breast cancer remains controversial. Immediate free flap reconstruction for advanced-stage breast cancer: is it safe?īACKGROUND: Numerous studies have demonstrated that immediate breast reconstruction following mastectomy is associated with improvements in quality of life and body image.
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