{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T20:29:11Z","timestamp":1773174551334,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T00:00:00Z","timestamp":1647475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study investigated the outcomes of nipple\u2010sparing mastectomy (NSM) with a deep inferior epigastric perforator (DIEP) flap using delayed primary retention suture (DPRS) to achieve superior breast esthetics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between December 2010 and March 2021, patients who underwent NSM with DIEP flap were inset with or without a skin paddle (using DPRS) as Group A or B, respectively. Demographics, operative findings, complications, BREAST\u2010Q questionnaire, and Manchester scar scale were compared between two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients underwent 12 unilateral reconstructions in Group A, while 12 patients underwent 13 DIEP flaps in Group B. There was no significant difference in demographics, ischemia time, flap\u2010used weight and percentage, complications of hematoma, infection, re\u2010exploration, partial flap loss, and total flap loss (All <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05, respectively). At a mean 9 months\u00a0of follow\u2010up, the Breast\u2010Q \u201cSatisfaction with surgeon\u201d domain was significant in Group B (<jats:italic>p<\/jats:italic>\u2009=\u20090.04). At a mean 12 months\u00a0of follow\u2010up, the overall Manchester scar scale of 10.3 in Group B was statistically superior to 12.6 in Group A (<jats:italic>p<\/jats:italic>\u2009=\u20090.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The NSM with a DIEP flap using DPRS is a reliable and straightforward technique. It can provide greater cosmesis of the reconstructed breast mound in a single\u2010stage procedure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26852","type":"journal-article","created":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T14:15:55Z","timestamp":1647526555000},"page":"1202-1210","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Nipple\u2010sparing mastectomy with immediate breast reconstruction with a deep inferior epigastric perforator flap without skin paddle using delayed primary retention suture"],"prefix":"10.1002","volume":"125","author":[{"given":"Eamon C.","family":"Francis","sequence":"first","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine Chang Gung University Taoyuan Taiwan"},{"name":"Department of Plastic and Reconstructive Surgery Royal College of Surgeons in Ireland Dublin 2 Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleonora O. F.","family":"Dimovska","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine Chang Gung University Taoyuan Taiwan"},{"name":"Department of Plastic and Maxillofacial Surgery Uppsala University Hospital Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsu\u2010Huan","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of General Surgery Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010Ling","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4237-2959","authenticated-orcid":false,"given":"Ming\u2010Huei","family":"Cheng","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine Chang Gung University Taoyuan Taiwan"},{"name":"Center for Tissue Engineering Chang Gung Memorial Hospital Taoyuan Taiwan"},{"name":"Center for Lymphedema Microsurgery Chang Gung Memorial Hospital Taoyuan Taiwan"},{"name":"Section of Plastic Surgery The University of Michigan Ann Arbor Michigan 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