Can reconstruction come before radiotherapy?

04/12/2013 | MedWire News (U.K.)

Immediate post-mastectomy reconstruction with autologous tissue is an option even if the patient will undergo radiation treatment, according to a study in the Annals of Plastic Surgery. Similar percentages of women with free-flap breast reconstruction had to undergo revision whether or not they received post-reconstruction radiotherapy, but the University of Pennsylvania study was not large enough to achieve statistical significance for that comparison. Post-radiotherapy volume loss was more likely in bilateral surgery patients who received perforated flap reconstruction than in those who received muscle-sparing free transverse rectus abdominis myocutaneous flaps.

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