Abstract
Background: During the height of the Covid-19 pandemic in the United Kingdom (March-May 2020) the use of implants and DIEP flaps was prohibited to avoid extended patient in-hospital stay and exposure to risk. Due to a requirement to innovate, we increased our use of local pedicled perforator flaps (PPF) to optimise wide excision allowing for clear margins and replacing tissue to maintain cosmesis and also to provide whole breast reconstruction whilst minimising length of hospital stay (LOS) and risk of complications requiring readmission.
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