Psychological Evaluation of Patients Undergoing Breast Reconstruction Using Two Different Methods: Autologous Tissues Versus Prostheses

Franchelli, Simonetta; Leone, Maria Stella; Berrino, Pietro; Passarelli, Barbar; Capelli, Matteo; Baracco, Gloria; Alberisio, Allesandra; Morasso, Gloria; Santi, Pier Luigi

doi:10.1097/00006534-199506000-00011

Cited by 50 publications

(26 citation statements)

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“…Although previous research has examined psychosocial outcomes among women who undergo mastectomy with and without reconstruction and breast-conservation therapy, many studies have used cross-sectional study designs, which lack baseline data for comparison and a longitudinal perspective. [4][5][6][7][8][9][10][11][12][13] samples of patients who underwent a variety of different postmastectomy breast reconstruction techniques whose outcomes evolved with various timelines.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Zhong

McCarthy

Min

et al. 2011

Cancer

174

100

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were asked to complete the BREAST-Q, Hospital Anxiety and Depression Scale (HADS), and Impact of Event Scale (IES) questionnaires before surgery and at 3 weeks and 3 months after surgery. A repeated-measures design was used to compare scores between baseline and postoperative time points. RESULTS: Fifty-one of 55 women completed the questionnaires (response rate, 93%). BREAST-Q subscale scores (breast, sexual well being, and psychosocial well being) improved significantly (P < .05) postoperatively. The other subscale scores related to physical well being of the chest and abdomen dropped significantly 3 weeks after reconstruction; and, by 3 months after reconstruction, both scores improved significantly (P < .05). Large effect sizes for improvements in satisfaction, psychosocial well being, and sexual well being were observed (1.88, 1.2, and 1.31, respectively); whereas deterioration in the effect size for abdominal donor site was reported (À1.56). After adjusting for postoperative complications, there were statistically significant changes in BREAST-Q subscale scores. Changes observed on the HADS and IES provided external validation of the findings obtained on the BREAST-Q. CONCLUSIONS: The current results suggested that the gains in breast satisfaction, psychosocial well being, and sexual well being after patients undergo either free muscle-sparing transverse rectus abdominis myocutaneous flap reconstruction or deep inferior epigastric artery flap reconstruction are statistically significant and clinically meaningful to the patient as early as 3 weeks after surgery. However, these gains are accompanied by significant deterioration in physical well being of the abdominal donor site. Cancer 2012;118:1701-

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Section: Introductionmentioning

confidence: 99%

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Zhong

McCarthy

Min

et al. 2011

Cancer

174

100

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“…Numerous investigators have examined the impact of different methods of breast reconstruction after mastectomy on patient's satisfaction and overall psychological functioning (8,9,25). In the Michigan Breast Reconstruction Outcome Study, autogenous tissue reconstructions produced higher levels of patient aesthetic and general satisfaction compared with implant techniques one year after reconstruction (26).…”

Section: Discussionmentioning

confidence: 99%

Immediate Breast Reconstructions in Breast Cancer Patients

Hýža

Veselý

Dražan

et al. 2008

Polish Journal of Surgery

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3In mastectomy women an immediate breast reconstruction has become a real option over the past several years. Like many other reconstructive procedures, breast reconstruction aims not only to restore body form and anatomy, but also to improve quality of life and emotional well-being. The aim of the study was to review the cases of mastectomies and immediate breast reconstructions within 8 years and propose a mastectomy-reconstructive protocol to be used and evaluated for the future. Material and methods. Since January 2001, 39 patients of average age 43.9 years underwent mastectomy for early breast cancer and subsequent immediate reconstruction. Patients had either the breast reconstructed with an abdominal flap at the time of mastectomy, or they had a two stage reconstruction with the expander placed during mastectomy procedure and subsequent silicone-gel implant placement. The retrospective chart review of the records of patients with diagnosis of breast cancer were reviewed for histology, tumor size and technique of reconstruction used. Based on the pictures of postoperative results and the chart review, the reconstructive protocol was proposed. Results. The number of patients having immediate reconstruction has significantly increased over the past three years compare to previous period form 2001 till 2005. Majority of the patients were treated for early breast cancers (DCIS -ductal carcinoma in situ or invasive cancer smaller than 2 cm). The vital tissue was used for the reconstruction in 27 patients(71%). Silicone gel implant/implants were used for reconstruction in 11(29%) patients. 23 reconstructions was bilateral for the diagnosis of high oncological risk of contralateral breast parenchyma. Best results were achieved in patients with bilateral breast reconstructions having skin sparing or nipple sparing mastectomy and not having postmastectomy radiation therapy. Conclusions.The immediate breast reconstruction seems to be a reasonable solution for many patients having mastectomy for early breast cancer, smaller than 2 cm and negative sentinel node biopsy (low risk for postmastectomy radiation therapy). We prefer skin sparing or nipple sparing mastectomy if possible. The reconstruction with abdominal tissue results in a good and time-stable results in majority of the cases.

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“…If it is necessary for oncologic reasons and if there are contraindications for breast-conserving therapy, methods of breast reconstruction can contribute signiicantly to the restoration of physical integrity, including an improvement of life quality for the afected women. Besides an improvement or restoration of the physical image and of the self-esteem, breast reconstruction leads to a processing of an oncologically necessary mastectomy from a psychooncological and rehabilitative point of view [3].…”

Section: Introductionmentioning

confidence: 99%

Aspects of Immediate and Delayed Alloplastic Breast Reconstruction After Mastectomy

Friedrich¹,

Kraemer²

2017

Breast Cancer - From Biology to Medicine

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Seventy percent of patients with early breast cancer can be treated by breast-conserving surgery, while the remaining 30% are forced to receive mastectomy. Nearly 30% of these patients choose breast reconstruction. In the last decade, new alternative techniques and improved surgical devices have signiicantly improved techniques for breast reconstruction that especially include immediate or delayed breast reconstruction with silicone implants as an excellent option. In general, implant reconstruction may be single-or two-stage procedures. Single-stage reconstruction is the preferred technique for patients with small breasts and minimal ptosis, while large breasts with ptosis require reduction mastopexy either combined with dermoglandular lap or with titane net for covering the caudal pole of the implant. Thus, excellent cosmetic results can be achieved. Recent studies showed a signiicant survival beneit for postmastectomy irradiation in nodal-positive patients, so that many candidates for breast reconstruction are irradiated with a higher probability of wound-healing complications after breast reconstruction and increased rates of other complications like capsular ibrosis.

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Psychological Evaluation of Patients Undergoing Breast Reconstruction Using Two Different Methods: Autologous Tissues Versus Prostheses

Cited by 50 publications

References 0 publications

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Immediate Breast Reconstructions in Breast Cancer Patients

Aspects of Immediate and Delayed Alloplastic Breast Reconstruction After Mastectomy

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