We have carried out 281 primary plastic reconstructive operations (thoracodorsal flap--171; rectoabdominal flap--104) as a component of therapy for breast cancer in 1998-2004. Such indications as young age and the patient's desire to preserve the breast were considered. Radical intervention was followed by breast reconstruction. Individualized treatment made it possible to combine radicality of intervention with formation of a breast well matching the intact one.
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