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. 2015 Aug 31;112(35-36):593–600. doi: 10.3238/arztebl.2015.0593

Table 3. Breast reconstruction following mastectomy, with and without PMRT*.

Oxford AGO
LOE GR GR
IBR
  • IBR with no PMRT

  • IBR following mastectomy and PMRT

  • IBR before PMRT/after partial breast irradiation

    (N.B.: high complication rate)

  • Implant replacement before radiotherapy

  • IBR following delayed mastectomy (after BCT)


2a
2b
2a

3a
2a

B
B
B

B
B

++
+/–
+/–

+
+/–
Breast reconstruction with ABR
  • Before radiotherapy (N.B.: blood supply of tissue, increased rate of fibrosis, wound healing problems, liponecrosis)

  • Breast reconstruction following radiotherapy

    • Pedicle flaps (TRAM, LADO)

    • Free tissue transfer

      • Free TRAM

      • DIEP

      • SIEA

      • SGAP/IGAP

      • Free gracilis flap (TMG)


2a

2a
3b

3a
3a
3a
4
4

B

B
C

B
B
C
C
C

+/–

+
+

+/–
+
+/–
+/–
+/–

ABR, autologous breast reconstruction; AGO, Working Group for Gynecological Oncology; BCT, breast-conserving therapy; DIEP, deep inferior epigastric perforator; GR, grade of recommendation; IBR, implant-based breast reconstruction; IGAP, inferior gluteal artery perforator; LADO, latissimus dorsi flap; LOE, Oxford level of evidence; PMRT, postmastectomy radiotherapy; SIEA, superficial inferior epigastric artery; SGAP, superior gluteal artery perforator; TRAM, transverse rectus abdominis muscle flap; TGM, transverse myocutaneous gracilis*Modified according to (e5)