Savva Demetris, Nittari Giulio, Gibelli Filippo, Ricci Giovanna, Dalitis Savvas, Fotiou Antonia, Michael Phanos
Department of Plastic Reconstructive and Aesthetic Surgery Nicosia General Hospital Nicosia Cyprus.
School of Pharmaceutical Sciences and Health Products University of Camerino Camerino Italy.
Health Sci Rep. 2025 Apr 16;8(4):e70499. doi: 10.1002/hsr2.70499. eCollection 2025 Apr.
Breast reconstruction after mastectomy is nowadays a gold standard in therapy of breast cancer patients. Free deep inferior epigastric perforator (DIEP) flap reconstruction is a favorable method when traditional implants fail or are not viable, especially after radiotherapy. The aim of this paper is to present the results of a case series study of 40 patients operated on with DIEP flap from January 2020 to October 2023, in Plastic, Reconstructive and Aesthetic Surgery Department in Nicosia General Hospital, Cyprus, complications and wound management, reoperation rates, as well as to examine these results from a medico-legal perspective, to highlight the most significant medico-legal implications of this demanding, surgical procedure.
Forty patients were included in this study with unilateral or bilateral free DIEP reconstruction, from January 2020 to October 2023, in Plastic, Reconstructive and Aesthetic Surgery Department in Nicosia General Hospital, Cyprus. Demographics, preoperative conditions, hospitalization days, complication rates, and reoperation rates were analyzed as well as satisfaction rates of patients were evaluated.
This original article highlighted a number of issues of strict medico-legal interest, including the importance of informed consent in the case of demanding procedures for reconstructive and esthetic purposes, the assessment of standards of care in the evaluation of medical liability, and the existence of an obligation of means or results on the reconstructive surgeon's part.
DIEP breast reconstruction after mastectomy is a challenging but safe and with well postoperative results operation that should be employed in cases traditional implant reconstruction fail or not feasible due to other parameters. Innovative and demanding reconstructive, esthetic surgery procedures are characterized by particularly significant aspects of medico-legal interest, which deserve careful consideration by both the scientific community and patients involved.
乳房切除术后乳房重建如今是乳腺癌患者治疗的金标准。当传统植入物失败或不可行时，尤其是在放疗后，游离腹壁下深动脉穿支（DIEP）皮瓣重建是一种理想的方法。本文的目的是展示2020年1月至2023年10月在塞浦路斯尼科西亚综合医院整形、重建与美容外科接受DIEP皮瓣手术的40例患者的病例系列研究结果、并发症及伤口处理、再次手术率，并从法医学角度审视这些结果，以突出这一要求苛刻的外科手术最重要的法医学影响。
本研究纳入了2020年1月至2023年10月在塞浦路斯尼科西亚综合医院整形、重建与美容外科接受单侧或双侧游离DIEP重建的40例患者。分析了人口统计学、术前状况、住院天数、并发症发生率和再次手术率，并评估了患者的满意度。
这篇原创文章突出了一些具有严格法医学意义的问题，包括在进行重建和美容目的的苛刻手术时知情同意的重要性、评估医疗责任时的护理标准、以及重建外科医生方面手段或结果义务的存在。
乳房切除术后DIEP乳房重建是一项具有挑战性但安全且术后效果良好的手术，在传统植入物重建失败或因其他因素不可行的情况下应采用。创新且要求苛刻的重建、美容外科手术具有特别重要的法医学意义，值得科学界和相关患者仔细考虑。
