Comparison of immediate versus delayed deep inferior epigastric artery perforator (DIEP) flap reconstruction in women who require post mastectomy radiotherapy.

Introduction The aim of this study was to investigate aesthetic outcome and patient satisfaction in women who have undergone DIEP reconstruction in the setting of PMRT. Patients who underwent DIEP reconstruction without PMRT were the control group. Methods Participants who had undergone DIEP between 9/1/2009-9/1/2014 were recruited, answered the BREAST-Q and underwent 3D surface-imaging. A panel assessed the aesthetic outcome by reviewing these images. Results 167 women participated. 80(48%) underwent immediate DIEP reconstruction and no PMRT, 28(17%) immediate DIEP with PMRT, 38(23%) simple mastectomy, PMRT then DIEP and 21(13%) mastectomy with temporizing implant, PMRT then DIEP. Median satisfaction scores were significantly different between the groups (P

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