A Franco-British Patients' and Partners' Satisfaction Audit of Breast Reconstruction

Guyomard, Veronique; Leinster, SJ; Wilkinson, Mark; Servant, J.-M.; Pereira, Jerome

doi:10.1016/j.ejso.2007.07.161

Cited by 5 publications

(11 citation statements)

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“…This appears to contradict findings of the previously mentioned studies (Andrade et al, 2001;Aspinwall & Taylor, 1992;Bard & Sutherland, 1955b;Brown & Dutton, 1995;Damen et al, 2009Damen et al, , 2010Guyomard et al, 2009;Halamandaris & Power, 1997;Schmitt & Allik 2005;Tarlow & Haaga, 1996;Visser et al, 2010) in which patients expressed more satisfaction with the aesthetic outcome than the surgeon. This appears to contradict findings of the previously mentioned studies (Andrade et al, 2001;Aspinwall & Taylor, 1992;Bard & Sutherland, 1955b;Brown & Dutton, 1995;Damen et al, 2009Damen et al, , 2010Guyomard et al, 2009;Halamandaris & Power, 1997;Schmitt & Allik 2005;Tarlow & Haaga, 1996;Visser et al, 2010) in which patients expressed more satisfaction with the aesthetic outcome than the surgeon.…”

Section: Discussioncontrasting

confidence: 59%

“…Whereas some studies found patient satisfaction to be unaffected by the timing of reconstruction (Andrade, Baxter, & Semple, 2001;Aspinwall & Taylor, 1992;Bard & Sutherland, 1955b;Brown & Dutton, 1995;Damen et al, 2009Damen et al, , 2010Guyomard, Leinster, Wilkinson, Servant, & Pereira, 2009;Halamandaris & Power, 1997;Schmitt & Allik 2005;Tarlow & Haaga, 1996;Visser et al, 2010), a recent study did report patients with delayed reconstruction to express significantly higher levels of satisfaction with the outcome of reconstruction (Guyomard et al, 2009). Whereas some studies found patient satisfaction to be unaffected by the timing of reconstruction (Andrade, Baxter, & Semple, 2001;Aspinwall & Taylor, 1992;Bard & Sutherland, 1955b;Brown & Dutton, 1995;Damen et al, 2009Damen et al, , 2010Guyomard, Leinster, Wilkinson, Servant, & Pereira, 2009;Halamandaris & Power, 1997;Schmitt & Allik 2005;Tarlow & Haaga, 1996;Visser et al, 2010), a recent study did report patients with delayed reconstruction to express significantly higher levels of satisfaction with the outcome of reconstruction (Guyomard et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

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Self-Esteem and Patients' Satisfaction After Deep Inferior Epigastric Perforator Flap Breast Reconstruction

Haekens

Enajat

Keymeulen

et al. 2011

Plastic Surgical Nursing

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The objective of this article is to assess the impact of deep inferior epigastric perforator (DIEP) flap breast reconstruction on self-esteem and to analyze the correlation between aesthetic outcome and self-esteem. Global self-esteem was evaluated using the Rosenberg Self-Esteem Scale in 31 patients who underwent DIEP flap breast reconstructions. A study-specific questionnaire and photographic evaluation were used by the patient, the plastic surgeon, and the oncological surgeon to measure satisfaction with the aesthetic outcome. Patients' satisfaction and self-esteem were analyzed for any existing correlation. Overall patients' satisfaction had a mean score of 6.55 (range, 0-10) on the Patient Satisfaction Questionnaire. A mean score of 32.48 (range, 10-40) was found on the Rosenberg Self-Esteem Scale. More than 80% of patients were content with their decision to undergo this procedure and would recommend this to a friend. Surgeons tended to rate the aesthetic outcome better than patients. Patients' satisfaction and self-esteem were found to be positively correlated. Patients are generally content with the outcome of primary DIEP flap breast reconstruction. The favorable aesthetic result of this procedure has a beneficial effect on patients' self-esteem.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Self-Esteem and Patients' Satisfaction After Deep Inferior Epigastric Perforator Flap Breast Reconstruction

Haekens

Enajat

Keymeulen

et al. 2011

Plastic Surgical Nursing

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“…86 In breast reconstruction, a waiting period can allow steadystate resolution of acute emotional and medical issues, giving the patient the chance of remaining with an acceptable conventional recon struction, and even increase satisfaction with the eventual results of trans plantation. 87,88 These eff ects might also be true for face trans plant ation. Severity of disfi gurement does not predict psychological outcome and it is not always necessary to pursue an ideal aesthetic outcome to achieve the best possible psychological adjustment.…”

Section: Ethical Dilemmasmentioning

confidence: 99%

Facial transplantation: the first 9 years

et al. 2014

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Since the fi rst facial transplantation in 2005, 28 have been done worldwide with encouraging immunological, functional, psychological, and aesthetic outcomes. Unlike solid organ transplantation, which is potentially life-saving, facial transplantation is life-changing. This diff erence has generated ethical concerns about the exposure of otherwise young and healthy individuals to the sequelae of lifelong, high-dose, multidrug immunosuppression. Nevertheless, advances in immunomodulatory and immunosuppressive protocols, microsurgical techniques, and computer-aided surgical planning have enabled broader clinical application of this procedure to patients. Although episodes of acute skin rejection continue to pose a serious threat to face transplant recipients, all cases have been controlled with conventional immunosuppressive regimens, and no cases of chronic rejection have been reported.

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“…De hecho, en ocasiones, está más satisfecho el paciente que ha visto cumplidas sus expectativas que el que ha tenido una operación concluida con éxi-to desde el punto de vista médico (26) . En el caso de las reconstrucciones mamarias hay muchos estudios al respecto y han encontrado aspectos interesantes como que existe una diferencia en expectativas según la raza y el nivel cultural (27) o incluso diferencias entre países (28) . La satisfacción está estrechamente relacionada con la comparación que hace la mujer entre las expectativas previas a la cirugía y la percepción del resultado definitivo tras el proceso quirúrgico (25,29) .…”

Section: Discussionunclassified

Reconstrucción inmediata en cáncer de mama. ¿Las mujeres están satisfechas con su decisión?

López¹,

Fernández²,

Rodríguez³

et al. 2016

Psicooncología

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¡ResumenObjetivo: Conocer las vivencias, expectativas y satisfacción percibida de un grupo de mujeres diagnosticadas de cáncer de mama con mastectomía con reconstrucción en el mismo acto quirúrgico.Material y Métodos: La metodología utilizada en esta investigación ha sido la cualitativa y las técnicas para la recogida de la información fueron la entrevista en profundidad (cuatro mujeres) y el grupo focal (dos grupos de 8 pacientes cada uno).Resultados: se exploraron cinco áreas 1) El impacto del diagnóstico del cáncer 2) Información recibida ante la intervención 3) Las experiencias en el postoperatorio. 4) Cumplimiento de expectativas y 5) Satisfacción con la decisión tomada. El diagnóstico fue impactante para la mayoría de las mujeres. Inicialmente, la información recibida se consideró buena y suficiente pero hemos comprobado que posteriormente, una vez superada la convalecencia de la intervención, aparecen más quejas sobre todo relacionadas con las complicaciones posteriores y con el dolor. Las expectativas sobre la reconstrucción inmediata estuvieron muy ligadas con los resultados estéticos finales. Algu- AbstractObjective: To know the experiences, expectations and perceived satisfaction in a group of breast cancer women who had undergone immediate breast reconstruction after mastectomy.Material and Methods: 20 women took part in a qualitative study. 4 women were assessed through an in-depth interview and the other 16 women were divided into two focus groups (8 each). The recorded interview and focus group discussions were transcribed and analyzed using "framework analysis".Results: Five areas were explored: 1) Impact of cancer diagnosis, 2) Information received about the surgery, 3) Post-surgery experiences, 4) Fulfilment of expectations and 5) Satisfaction with the decision. Cancer diagnosis was overwhelming for most of the women. For women, information received was considered good and sufficient, but the study shows that after the post-surgical period, more complaints related to pain and other complications appear. The expectations about immediate breast reconstruction were linked with the final aesthetic results. Some women would choose to do the same procedure again despite the Financiación: El actual trabajo ha recibido una beca de la Fundación Victor Grifols i Lucas

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A Franco-British Patients' and Partners' Satisfaction Audit of Breast Reconstruction

Cited by 5 publications

References 0 publications

Self-Esteem and Patients' Satisfaction After Deep Inferior Epigastric Perforator Flap Breast Reconstruction

Self-Esteem and Patients' Satisfaction After Deep Inferior Epigastric Perforator Flap Breast Reconstruction

Facial transplantation: the first 9 years

Reconstrucción inmediata en cáncer de mama. ¿Las mujeres están satisfechas con su decisión?

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