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DIEP flap reconstruction, first described in 9involves the transposition of adipose tissue and skin from the abdomen to the mastectomy site as a free microsurgical transplant in order to rebuild the breast Severe physical trauma, including major surgery, has been suggested to trigger tumour progression in patients with breast cancer 11 The concept of tumour dormancy has been proposed as a possible explanation.
Breast reconstruction using autologous flaps may be considered a major tissue trauma as it involves extensive and prolonged surgery with exposure of large wound surfaces. As DIEP flap surgery is an extensive autologous reconstructive technique in increasing use today, the aim of this study was to assess whether the risk of breast cancer recurrence in a homogeneous group of women undergoing DIEP flap reconstruction was increased compared with that among women undergoing mastectomy alone.
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