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Updated: Feb 5, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Time to Radiation After Oncoplastic Reduction.

Sameer M Kapadia1, Alexandra Reitz, Alexandra Hart

  • 1From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA.

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Summary
This summary is machine-generated.

Postoperative complications after oncoplastic reduction (OCR) surgery for breast cancer significantly delay the start of adjuvant radiation therapy. Minimizing complications is crucial for timely treatment initiation.

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Radiation Oncology

Background:

  • Partial breast reconstruction using reduction mammaplasty is a viable option for breast-conserving therapy.
  • Concerns exist regarding potential delays in adjuvant radiation therapy initiation due to postoperative complications following oncoplastic reduction (OCR).

Purpose of the Study:

  • To investigate the association between postoperative complications after OCR and delays in the initiation of adjuvant radiation therapy.

Main Methods:

  • Analysis of patients undergoing OCR with adjuvant radiation between 1997-2015 at a single institution.
  • Exclusion of patients receiving chemotherapy or experiencing non-surgical radiation delays.
  • Comparison of time to radiation initiation between patients with and without surgical complications.

Main Results:

  • Twenty-two percent (26/118) of patients experienced surgical complications, including cellulitis, delayed healing, and wound dehiscence.
  • Complications significantly increased the median time to radiation initiation (74 days vs. 54 days, P < 0.001).
  • Reoperation for complications did not significantly alter the time to radiation initiation.

Conclusions:

  • Postoperative complications following OCR are linked to increased time to adjuvant radiation therapy, irrespective of reoperation.
  • Careful patient selection and surgical technique are essential to minimize complications and ensure timely treatment.