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Subject Area

General Surgery

Article Type

Original Study

Abstract

Objectives To evaluate the feasibility of using a dermal fat graft immediately after conservative breast surgery and the factors that may increase the possibility of complication incidence after surgery. Background Breast cancer is considered as one of the most common cancers affecting women and remains one of the world's biggest killers. Once diagnosed as a breast cancer patient, a woman is exposed to psychological trauma. Breast reconstruction is an integral part of treatment of breast cancer after surgery. Reconstruction may be either immediate at the time of mastectomy or delayed until after adjuvant treatment. The advantages of immediate reconstruction have proved to be much higher than the possible disadvantages, including less psychological effect and reduced cost due to one-stage surgery, superior cosmetic results, and shortening the time to start radiotherapy. Patients and methods This study was conducted on 40 female patients admitted to Surgical Oncology Unit, Menoufia University Hospitals, in the period between January 2020 and February 2021. They were diagnosed as having early breast cancer and were eligible for conservative breast surgery. Patients who had contraindication to breast conservative surgery were excluded from this study. Results Of 40 patients, six (15%) patients had complications within 1 month after surgery; delayed wound healing was seen in two patients, hematoma in two patients, and surgical site infection in two patients. Multiple complications were observed in one diabetic patient who had surgical site infection within 1 month and fat necrosis within 6 months after surgery. Conclusion Immediate breast volume replacement using a free dermal fat graft after conservative breast surgery can be done for selected patients with breast cancer to avoid postoperative complications.

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