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Breast reconstruction and coronavirus pandemic

Published:September 26, 2020DOI:https://doi.org/10.1016/j.bjps.2020.08.103
      For breast cancer, partial and total breast reconstruction reduce patient's sensation of mutilation, improving their quality of life. On the other hand, the pandemic of the COVID-19 resulted in the implementation of social distancing measures, with a negative effect on the management of different diseases. We read the article of Di Pace et al. entitled “Breast reconstruction and the COVID-19 pandemic: A viewpoint
      • Di Pace B.
      • Benson J.R.
      • Malata C.M
      Breast reconstruction and the COVID-19 pandemic: a viewpoint.
      ”. We agree that risk-reducing surgeries, contralateral operation and revisional procedures should be postponed. However, as the authors pointed out, “avoiding all IBR will lead to long waiting lists and have a negative psychological impact, particularly among younger patients”. We believe that immediate breast reconstruction (IBR) should be recommended, especially with implants or tissue expanders, considering local conditions during the pandemic.
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      References

        • Di Pace B.
        • Benson J.R.
        • Malata C.M
        Breast reconstruction and the COVID-19 pandemic: a viewpoint.
        J Plast Reconstr Aesthet Surg. 2020; 73: 1357-1404https://doi.org/10.1016/j.bjps.2020.05.033
        • Freitas-Júnior R.
        • Gagliato D.M.
        • Moura Filho J.W.C.
        • Gouveia P.A.
        • Rahal R.M.S.
        • Paulinelli R.R.
        • et al.
        Trends in breast cancer surgery at Brazil's public health system.
        J Surg Oncol. 2017; 115: 544-549https://doi.org/10.1002/jso.24572
      1. American Society of Plastic Surgeons. ASPS statement on breast reconstruction in the face of COVID-19 pandemic. 2020. Available at:https://www.plasticsurgery.org/documents/medicalprofessionals/COVID19-Breast-Reconstruction.

      2. Cavalcante FP, Novita GG, Millen EC, Zerwes FP, de Oliveira VM, Sousa ALL et al. Management of early breast cancer during the COVID-19 pandemic in Brazil, 2020, PREPRINT (Version 1) available at Research Square, doi.org/10.21203/rs.3.rs-41941/v1+.

      Linked Article

      • Breast reconstruction and the COVID-19 pandemic: A viewpoint
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 73Issue 7
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          The COVID-19 pandemic has caused unprecedented disruptions in patient care globally including management of breast and other cancers.1 However, cancer care should not be compromised unnecessarily by constraints caused by the outbreak.
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      • Breast reconstruction and the COVID-19 pandemic: Adapting practice
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 74Issue 3
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          We thank Dr Cavalcante and colleagues for their constructive comments in response to our viewpoint on breast reconstruction during the COVID-19 pandemic.1 We welcome discussion of this time-sensitive issue within the context of a different healthcare system which they base on an electronic survey of Brazilian surgeons over a two-month period.
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