Objective: To review the experience in immediate breast reconstruction with DIEP flap following modified radical mastectomy.
Methods: From 2003 to 2005, eight patients with breast cancer have undergone modified radical mastectomy and immediate breast reconstruction with deep inferior epigastric perforator flap. Six patients had stage I disease and 2 patients had stage II disease.
Results: The flaps in all the cases survived. Two occurred minor complications. A small part of venous congestion occurred in one flap. One patient had hematoma under the flap. Follow up more than 6 months, no evidence of recurrence and metastasis occurs. Postoperative abdominal wall examination didn't reveal and hernia and bulging. Patient satisfaction with the reconstructed breast was rated high. The reconstructed breast achieved good results in shape, colour and symmetry.
Conclusion: The procedure introduced is an ideal method for breast reconstruction after modified radical mastectomy.