Influence of radiation therapy on the development of complications in single-stage autologous breast reconstruction with a DIEP-flap in breast cancer patients: a retrospective study

Breast reconstruction after complex oncological treatment is an urgent issue due to the high incidence of breast cancer.
 Aim. To analyze effect postoperative radiotherapy on fat necrosis in single-stage autologous with a DIEP flap and evaluate number complications groups without radiotherapy, as well determine risk factors for complications.
 Materials methods. The medical records 34 cancer patients who underwent one-stage using skin-sparing/subcutaneous mastectomy subsequent radiation therapy were retrospectively studied. frequency was assessed.
 Results. Complications developed 22 (64.7%) out 34. Mild 6 (17.6%) (divergence edges wound anterior abdominal wall). moderate severity 12 (35.3%) patients. Severe 4 (11.8%) Out patients, (17.4%) areas remote delayed period, ESWL, also part (areas up 5 cm). Excision area performed 2 (5.9%) cases under local anesthesia, rest not excised. percentage higher group obesity (20.6%), which indicates that factor development intraoperative simultaneous flap.
 Conclusion. During flap, higher. Obesity increased since obesity.