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Correspondence and Communications| Volume 72, ISSUE 4, P685-710, April 2019

A comparison of patient reported outcome measures in patients who received both DIEP flap and PAP flap breast reconstructions

  • Declan C. Murphy
    Affiliations
    Department of Plastic and Reconstructive Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK

    Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK
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  • Andrea Figus
    Correspondence
    Corresponding author at: Department of Surgical Sciences, Plastic Surgery and Microsurgery Unit, University of Cagliari, University Hospital Duilio Casula, SS554, Monserrato, 09100 Cagliari, Sardinia, Italy.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK

    Department of Surgical Sciences, Plastic Surgery and Microsurgery Unit, University of Cagliari, University Hospital Duilio Casula, SS554, Monserrato, 09100 Cagliari, Sardinia, Italy
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  • Chiara Stocco
    Affiliations
    Department of Plastic and Reconstructive Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK

    Department of Medical, Surgical and Health Sciences, Plastic and Reconstructive Surgery Unit, 9° piano Torre Chirurgica, Strada di Fiume 447, University of Trieste, Italy
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  • Sergio Razzano
    Affiliations
    Department of Plastic and Reconstructive Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK
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Published:January 14, 2019DOI:https://doi.org/10.1016/j.bjps.2019.01.006
A comparison of patient reported outcome measures in patients who received both DIEP flap and PAP flap breast reconstructions
Previous ArticleLetter to editor: Surgical-site infection following lymph node excision indicates susceptibility for lymphedema: A retrospective cohort study of malignant melanoma patients
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      Breast reconstruction should be routinely offered to patients undergoing mastectomy surgery for breast cancer.

      Cancer Research UK. Breast cancer mortality statistics. Available at: http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer/mortality. Accessed March 18, 2018.

      Post-operative recovery-time, the patient's occupation, hobbies and lifestyle must be considered when determining the most appropriate reconstruction technique for individual patients. Generally, patients prefer autologous breast reconstruction over implant-based methods for cosmetic and psychological reasons.
      • Eltahir Y.
      • Werners L.L.C.H.
      • Dreise M.M.
      • et al.
      Which breast is the best? Successful autologous or alloplastic breast reconstruction.
      Plast Reconstr Surg. 2015; 135: 43-50
      The Deep Inferior Epigastric Perforator (DIEP) flap is considered the gold-standard technique in free-flap autologous breast reconstruction however the Profunda Artery Perforator (PAP) flap is increasing in popularity amongst selected patients. We report a unique opportunity to compare patient-reported outcome measures (PROMs) from selected patients who have undergone both DIEP and PAP flap breast reconstructions on separate occasions.
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      References

      1. Cancer Research UK. Breast cancer mortality statistics. Available at: http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer/mortality. Accessed March 18, 2018.

        View in Article
        • Eltahir Y.
        • Werners L.L.C.H.
        • Dreise M.M.
        • et al.
        Which breast is the best? Successful autologous or alloplastic breast reconstruction.
        Plast Reconstr Surg. 2015; 135: 43-50
        View in Article
        • Pusic A.L.
        • Klassen A.F.
        • Scott A.M.
        • Klok J.A.
        • Cordeiro P.G.
        • Cano S.J.
        Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q.
        Plast Reconstr Surg. 2009; 124: 345-353
        View in Article
        • Stocco C.
        • Figus A.
        • Razzano S.
        Upgrading the BREAST-Q questionnaire with donor site evaluation after PAP flap breast reconstruction.
        Plast Reconstr Aesthet Surg. 2018 Jun; 71: 928-929
        View in Article
        • Parra L.
        Stacked PAP flaps for two-stage immediate bilateral breast reconstruction: a case report.
        World J Plast Surg. 2017; 6: 243-245
        View in Article

      Article info

      Publication history

      Published online: January 14, 2019
      Accepted: January 6, 2019
      Received in revised form: December 29, 2018
      Received: October 14, 2018

      Footnotes

      ☆Presented at 29th EURAPS Annual Meeting 17–19 May 2018.

      Identification

      DOI: https://doi.org/10.1016/j.bjps.2019.01.006

      Copyright

      © 2019 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.

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