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Restitution of the NHS breast reconstruction service during the recovery phase of the Covid 19 pandemic

Published:November 05, 2020DOI:https://doi.org/10.1016/j.bjps.2020.10.028

      Summary

      During the recovery restitution phase of the coronavirus pandemic, breast reconstruction teams have faced particular challenges to restarting this essential service. This is due to the length and complexity of the surgery, along with the demands on healthcare staff.
      The Royal College of Surgeons have classified immediate breast reconstruction as priority 2 and the National Institute for Health and Care Excellence have provided a pre-operative pathway for resumption of elective procedures. We therefore describe our experience in restarting our service for providing a breast reconstruction service from the 29th June 2020.

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      Linked Article

      • Resuming autologous free tissue transfer for breast reconstruction in the COVID-19 era
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 74Issue 2
        • Preview
          The Royal College of Surgeons (RCS) guide to surgical prioritisation during the coronavirus (COVID-19) pandemic states that breast reconstruction is Priority level 4 Surgery, meaning it can be delayed for over three months.1 The 30-day mortality in elective surgery patients diagnosed peri-operatively with COVID-19 may be as high as 19.1%.2 In view of the associated mortality risk, and potential complications such as return to theatre, autologous free tissue transfer for breast reconstruction was withheld in our unit from the 12th March.
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