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Randomised controlled trials are required to compare the oncological and aesthetic outcomes for those women who require PMR and are treated by SSM and IBR, conventional mastectomy with delayed reconstruction or immediate-delayed reconstruction.
Randomised controlled trials are now required to compare the oncological and aesthetic outcomes for those women who require PMR and are treated by SSM and IBR, conventional mastectomy with delayed reconstruction or immediate-delayed reconstruction.
Experts tend to agree that having delayed reconstruction with a flap provides the best results.
Political bickering in Tokyo delayed reconstruction efforts for at least three months, say local officials.
European, Arab and UN officials agree the bickering has delayed reconstruction.
Research suggests that women fare better emotionally if reconstruction is performed at the time of the mastectomy, so the trend toward delayed reconstruction is viewed with some alarm.
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Breast reconstruction is not always performed in the same operation as the mastectomy; the techniques for these delayed reconstructions, however, are as described previously.
Because radiation damages the skin and tissue of the reconstructed breast, most surgeons prefer women to delay reconstruction, said Dr. Scott L. Spear, chief of plastic surgery at Georgetown University Hospital.
Others must delay reconstruction for six to nine months.
Because the change can be mild, some plastic surgeons believe that delaying reconstruction is not necessary.
Abdon Pallasch, an assistant state budget director, cited in particular the risk of delaying reconstruction of the city's commuter rail system in hopes of obtaining better rates on the bonds, which have a total value of $1.3 billion.
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