Quality of life outcomes after pedicled TRAM flap delayed breast reconstruction

Veiga, Daniela Francescato; Neto, Miguel Sabino; Ferreira, Lydia Masako; Garcia, Élvio Bueno; Filho, Joel Veiga; Novo, Neil Ferreira; Rocha, João Lorenzo Bidart Sampaio

doi:10.1016/j.bjps.2003.12.029

Cited by 51 publications

(40 citation statements)

References 22 publications

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“…It was demonstrated that late breast reconstruction using a TRAM Xap caused an improvement in QoL with regard to emotional functioning, the self-administered general state of health and social functioning. Physical functioning was not showing to be inXuenced by the TRAM Xap technique (Veiga et al 2004).…”

Section: Discussionmentioning

confidence: 99%

Quality of life among breast cancer patients undergoing autologous breast reconstruction versus breast conserving therapy

Dian

Schwenn²,

Mylonas

et al. 2006

J Cancer Res Clin Oncol

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Our study demonstrated that autologous tissue breast reconstruction in breast cancer patients did not affect adversely the health-related quality of life compared to breast conserving therapy when the quality of life is assessed by the standardized questionnaire SF-36. In particular, the physical function is not reported to be significantly influenced negatively by the more extensive surgical therapy.

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Section: Discussionmentioning

confidence: 99%

Quality of life among breast cancer patients undergoing autologous breast reconstruction versus breast conserving therapy

Dian

Schwenn²,

Mylonas

et al. 2006

J Cancer Res Clin Oncol

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“…This fibrosis limits truncal extension and may entrap small nerves producing chronic discomfort. Despite the potential for functional morbidity, a significant majority of patients endorse TRAM reconstruction and enjoy enhanced health-related quality of life following the procedure (NCCN Category 2A) [59,60].…”

Section: Donor Site Morbiditymentioning

confidence: 99%

Barriers to rehabilitation following surgery for primary breast cancer

Cheville

Tchou

2007

Journal of Surgical Oncology

220

171

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Surgery is a mainstay of primary breast cancer therapy. Alterations in surgical technique have reduced normal tissue injury, yet pain and functional compromise continue to occur following treatment. A tenuous evidence base bolstered by considerable expert opinion suggests that early intervention with conventional rehabilitative modalities can reduce surgery-associated pain and dysfunction. Barriers to the timely rehabilitation of functionally morbid sequelae are discussed at length in this article. Barriers arise from a wide range of academic, human, logistic, and financial sources. Despite obstacles, expeditious and effective post-surgical rehabilitation is being regularly delivered to breast cancer patients at many institutions. This experience has given rise to anecdotal information on the management of common sequelae that may undermine function. The epidemiology, pathophysiology, and management of these sequelae are outlined in this article with an emphasis on the caliber of supporting evidence. Myofascial dysfunction, axillary web syndrome, frozen shoulder, lymphostasis, post-mastectomy syndrome, and donor site morbidity following breast reconstruction are addressed. A critical need for more definitive evidence to guide patient management characterizes the current treatment algorithms for surgical sequelae.

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“…Although few studies have explored the association between quality of life and plastic surgery, a positive relationship exists between them. For example, Veiga et al 38 and Brandberg et al 39 demonstrated that TRAM flap reconstruction positively impacts the quality of life of patients, improving their body functions and mental health. Thus, we can state that reconstruction also has repercussions on the physical activity of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…A positive relationship exists between the quality of life and plastic surgery, even though few studies examining this association have been published. Veiga et al 38 showed that reconstruction using the rectus abdominis muscle flap (the transverse rectus abdominis myocutaneous [TRAM]) improved the quality of life of patients. Brandberg et al 39 described similar results.…”

Section: Introductionmentioning

confidence: 99%

Nível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária

Neto¹,

Moreira²,

Resende³

et al. 2012

Rev. Bras. Cir. Plást.

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Physical activity in women undergoing mastectomy and breast reconstructionNível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária ABSTRACT Background: Regular physical activity has been recommended for the prevention and treat ment of coronary heart disease, diabetes mellitus, and hypertension. Besides being a pro tective factor against breast cancer, physical activity following the diagnosis of breast cancer has been associated with an improved quality of life and survival. The aim of this study was to assess levels of physical activity in women who had undergone mastectomy without breast reconstruction and in women who had undergone breast reconstruction after breast cancer treatment. Methods: Two groups, each with 18 patients, comprised the patient series. One group comprised women who had undergone mastectomy without breast reconstruction, and the other group comprised women who had undergone mastectomy and breast reconstruction. All patients were aged between 18 and 60 years. The exclusion criteria were physical disability; illiteracy; ongoing chemotherapy, radiation therapy, or psychiatric therapy; and surgery performed within the previous 12 months. Study participants completed the International Physical Activity Questionnaire. Statistical analysis was performed by applying the chi-square and Student's t tests, adopting a significance level of P < 0.05. Results: In the group of women who had undergone mastectomy without breast reconstruction, 16.7% were very active, 61.1% were active, and 22.2% were insufficiently active. In the group of women who had undergone mastectomy with breast reconstruction, 55.6% were very active, 33.3% were active, and 11.1% were insufficiently active. The difference between the groups was statistically significant (P < 0.0001). Conclusions: In this study, the level of physical activity among women who underwent breast reconstruction was higher than that among women who underwent mastectomy without breast reconstruction.Keywords: Mammaplasty. Breast neoplasms. Quality of life. Questionnaires. RESUMOIntrodução: A prática regular de atividade física tem sido recomendada para prevenção e tratamento de doenças coronárias, diabetes melito e hipertensão arterial. Além de fator protetor, a atividade física após o diagnóstico de câncer de mama tem sido correlacionada a aumento da qualidade de vida e da sobrevida. O objetivo deste estudo é avaliar o nível de atividade física de mulheres mastectomizadas sem reconstrução mamária e de mulheres submetidas a reconstrução mamária pós-tratamento de câncer de mama. Método: A casuística foi composta por 2 grupos, um de mulheres mastectomizadas sem reconstrução mamária e outro de mulheres mastectomizadas e submetidas a reconstrução mamária pós-mastectomia, ambos com 18 pacientes. Todas as pacientes tinham idade entre 18 anos e 60 anos. Os critérios de exclusão foram: deficiência física, analfabetismo, vigência de tratamento de quimioterapia, radioterapia ou psiquiátrico, e tratamento cirúrgico realizado em período...

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Quality of life outcomes after pedicled TRAM flap delayed breast reconstruction

Cited by 51 publications

References 22 publications

Quality of life among breast cancer patients undergoing autologous breast reconstruction versus breast conserving therapy

Quality of life among breast cancer patients undergoing autologous breast reconstruction versus breast conserving therapy

Barriers to rehabilitation following surgery for primary breast cancer

Nível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária

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