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Correspondence
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Volume 360:418-421 January 22, 2009 Number 4
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Breast Reconstruction after Breast-Cancer Surgery

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by Cordeiro, P. G.
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To the Editor: Cordeiro (Oct. 9 issue)1 describes a patient who may undergo postoperative radiation therapy after mastectomy. He states that the best therapeutic option would be prosthesis-based breast reconstruction. Because of the patient's limited abdominal tissue, the possible use of the superior gluteal artery perforator (SGAP) flap is mentioned but rejected in favor of an expander–implant approach. However, this operative approach is at odds with the results of several studies confirming the significantly increased risk of capsular contracture and other secondary complications in patients who received radiation as compared with patients with implants who did not receive radiation2,3 and . . . [Full Text of this Article]



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