Immediate reconstruction: current status in cancer management

Area of Science:

• Oncology
• Plastic and Reconstructive Surgery

Background:

• Immediate elective repair of defects from cancer ablative surgery is increasingly adopted.
• Delayed reconstruction presents challenges in cost, anesthesia risks, and patient recovery.

Purpose of the Study:

• To highlight the advantages of immediate reconstruction compared to delayed reconstruction.
• To demonstrate the efficacy and benefits of immediate repair for various anatomical defects.

Main Methods:

• Review of clinical experience and outcomes associated with immediate reconstructive procedures.
• Analysis of benefits including cost, technical ease, patient psychology, and oncological safety.

Main Results:

• Immediate reconstruction is associated with lower costs and reduced anesthesia risks.
• The procedure is often technically easier and yields superior aesthetic and functional results.
• Patients experience significant psychological benefits, minimizing disability and deformity duration.
• Immediate reconstruction does not elevate the risk of cancer recurrence or metastasis.

Conclusions:

• Elective immediate reconstruction is a viable and beneficial option for diverse defects (breast, chest wall, craniofacial, extremities).
• This approach enhances patient recovery, well-being, and overall treatment outcomes.