This is a prospective study of 30 breast cancer patients who underwent intermediated breast reconstruction with DIEP flap after mastectomy from June 2019 to June 2021. They were selected based on the following inclusion criteria: (1) who were residents in the Hanoi Medical University Hospital, (2) who wrote an informed consent to participate in the study, (3) who were 18 years of age and above, and (4) who underwent immediate breast reconstruction for DIEP flap after mastectomy.
The patients were selected as candidates for immediate reconstruction under evaluation by both the oncological and plastic surgeon in the outpatient clinic. Patients with metastatic disease and evidence of spread beyond local disease were excluded for immediate reconstruction.
Since this study focused on immediate unilateral breast reconstruction only, delayed or bilateral reconstructions were excluded. Other exclusion criteria included: (1) history of previous esthetic or reconstructive breast surgery, (2) contralateral breast surgery, (3) cancer recurrence, and (4) psychiatric disorder.
Complications including fat necrosis, partial flap loss, total flap loss, venous congestion, venous occlusion, breast seroma, breast hematoma, abdominal hernia, and medical complications were reported. Study data were collected and managed using SPSS 20.0. Frequencies and proportions were used to present categories variables. Descriptive statistics were calculated for all variables. Variables associated with breast complication were analyzed by using chi-square and Fisher's exact tests corrected for continuity. Mann–Whitney's tests were used to investigate the relationship between BMI scores and the occurrence of complications. All tests were two-sided and p values below 0.05 were considered as statistically significant.
The patients evaluated a study by answering specific questionnaire with the answers rating from 1 (unsatisfied) to 4 (very satisfied) regarding their satisfaction of reconstructed breast and satisfaction of the overall operation procedure. All patients were contact by phone and scheduled to return for a follow-up visit after 1 month and 3 months.
The patients were selected as candidates for immediate reconstruction under evaluation by both the oncological and plastic surgeon in the outpatient clinic. Patients with metastatic disease and evidence of spread beyond local disease were excluded for immediate reconstruction.
Since this study focused on immediate unilateral breast reconstruction only, delayed or bilateral reconstructions were excluded. Other exclusion criteria included: (1) history of previous esthetic or reconstructive breast surgery, (2) contralateral breast surgery, (3) cancer recurrence, and (4) psychiatric disorder.
Complications including fat necrosis, partial flap loss, total flap loss, venous congestion, venous occlusion, breast seroma, breast hematoma, abdominal hernia, and medical complications were reported. Study data were collected and managed using SPSS 20.0. Frequencies and proportions were used to present categories variables. Descriptive statistics were calculated for all variables. Variables associated with breast complication were analyzed by using chi-square and Fisher's exact tests corrected for continuity. Mann–Whitney's tests were used to investigate the relationship between BMI scores and the occurrence of complications. All tests were two-sided and p values below 0.05 were considered as statistically significant.
The patients evaluated a study by answering specific questionnaire with the answers rating from 1 (unsatisfied) to 4 (very satisfied) regarding their satisfaction of reconstructed breast and satisfaction of the overall operation procedure. All patients were contact by phone and scheduled to return for a follow-up visit after 1 month and 3 months.
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