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Inpatient stay with flap monitoring."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walking early; core and heavy lifting restricted until surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the flap softens; nipple reconstruction or refinements add time."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After flap check and drain removal; surgeon clearance required, with thrombosis precautions."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":5,"max":7,"unit":"days","qualifier":"Before discharge or at first dressing and flap check."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Drain and suture management; usually before flight home."},"requirement":"routine"},{"purpose":"assessment","after":{"min":42,"max":60,"unit":"days","qualifier":"Healing and flap review, often remote."},"requirement":"routine"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"Final result and planning of refinements."},"requirement":"conditional"}],"indications":["Breast reconstruction after mastectomy","Delayed reconstruction after breast cancer treatment","Reconstruction after failed implant-based reconstruction"],"main_risks":["Flap vascular compromise requiring return to theatre","Partial or total flap loss","Fat necrosis","Hematoma or seroma","Infection and wound-healing problems","Abdominal bulge or hernia","Venous thromboembolism","Donor-site and breast scarring and asymmetry","Reduced sensation"],"pain":"Moderate to severe for the first days, controlled with multimodal analgesia; abdominal tightness lasts 2-3 weeks.","preparation":["Stop smoking and nicotine at least 4-6 weeks before","CT or MR angiography to map abdominal perforators","Medical clearance and blood tests","Plan timing with oncology and radiotherapy team","Stop blood-thinning supplements as advised by surgeon","Arrange help at home and compression garments","Pre-operative photographs and markings"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Flap perfusion monitored hourly, drains in place, early mobilization from day 1-2.","restrictions":["Bed rest initially","Flexed hip position"]},{"phase":"Weeks 1-2","description":"Recovery at home after discharge; drain removal and gradual walking.","restrictions":["No lifting","Avoid straightening fully","No pressure on breast"]},{"phase":"Weeks 3-6","description":"Pain and swelling decrease, return to light daily activity; desk work from about week 6.","restrictions":["No lifting over 2-5 kg","No strenuous exercise","Wear compression garment"]},{"phase":"Weeks 6-12","description":"Gradual return to normal activity and exercise.","restrictions":["Core exercise only after clearance"]},{"phase":"Months 3-12","description":"Swelling resolves, scars mature, optional refinements.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":60,"unit":"days","qualifier":"Ordinary functional recovery with walking, self-care and light activity."},"result_longevity":"Reconstructed breast is long-lasting and changes with weight like natural tissue; no implant replacement needed.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned return to theatre or secondary revision surgery; excludes planned nipple reconstruction."},"scars":"Hip-to-hip lower abdominal scar, scar around the navel, and breast scars; fade over 12-18 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One main surgery; optional refinements are separate."},"stages":[{"code":"flap_reconstruction","label":"DIEP flap breast reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Main operation."}}],"qualifier":"Single-stage microsurgical reconstruction; nipple reconstruction or revision optional later."},"success":{"metric":"Flap survival (complete flap success)","value":97,"unit":"percent","horizon":"Within 30 days after surgery","population":"Adult women undergoing DIEP breast reconstruction after mastectomy","evidence_status":"proven"},"techniques":[{"name":"Unilateral DIEP flap","suits_whom":"Patients needing reconstruction of one breast with adequate abdominal tissue.","recovery":"Stay 4-6 nights; surgery about 5-7 hours."},{"name":"Bilateral DIEP flap","suits_whom":"Patients needing both breasts reconstructed.","recovery":"Longer surgery and recovery; stay 5-7 nights."},{"name":"Stacked DIEP flap","suits_whom":"Patients needing more volume than one hemi-abdomen provides.","recovery":"Longer, more complex surgery; stay about 5-7 nights."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":5,"max":8,"unit":"hours","qualifier":"Unilateral microsurgical reconstruction; bilateral takes longer."},"initial_assessment_documents":["Chest and abdomen photos","Mastectomy and pathology report","Radiotherapy and chemotherapy history","Abdominal CT or MR angiography (if available)","Prior abdominal surgery operative notes"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until drain removal and flap check."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=brazilia/procedure=rekonstrukciya-grudi-s-pomoshchyu-diep-loskuta/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}