Radiation and breast reconstruction

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Breast Reconstruction and Radiation Therapy

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How Does Radiation Affect Reconstruction Results?

Background: The optimal timing and technique of breast reconstruction in patients who may require postmastectomy radiation therapy are controversial. To help surgeons make the best decisions, the authors reviewed the recent literature on this topic. Methods: The authors searched the MEDLINE database for studies of radiation therapy and breast reconstruction with most patients treated after and mean follow-up of more than 1 year. Forty-nine articles were reviewed. Results: Even with the latest prosthetic materials and modern radiation delivery techniques, the complication rate for implant-based breast reconstruction in patients undergoing postmastectomy radiation therapy is greater than 40 percent, and the extrusion rate is 15 percent. Modified sequencing of two-stage implant reconstruction, such that the expander is exchanged for the permanent implant before postmastectomy radiation therapy, results in higher rates of capsular contracture and is not generally feasible after neoadjuvant chemotherapy. Current evidence suggests that postmastectomy radiation therapy also adversely affects autologous tissue reconstruction.
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Radiation therapy and breast reconstruction: a critical review of the literature

There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published.
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Many women who have mastectomy decide to have breast reconstruction — rebuilding the breast with tissue from your own body, called autologous reconstruction, or by using an implant. We know that radiation therapy given after reconstruction surgery can increase the risk of a scar tissue capsule forming around an implant, called capsular contraction. But until now, no research had looked at the issue. A study suggests that radiation after implant reconstruction seems to cause more complications than radiation given after autologous reconstruction.
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