Breast Cancer Patient Satisfaction with Immediate Two-stage Implant-based Breast Reconstruction
Authors:
O. Coufal 1,2; L. Gabrielová 1; I. Justan 1; O. Zapletal 1; I. Selingerová 3; P. Krsička 1
Authors‘ workplace:
Oddělení chirurgické onkologie, Masarykův onkologický ústav, Brno
1; Klinika komplexní onkologické péče, Masarykův onkologický ústav, Brno
2; Ústav matematiky a statistiky, Přírodovědecká fakulta MU, Brno
3
Published in:
Klin Onkol 2014; 27(5): 353-360
Category:
Original Articles
doi:
https://doi.org/10.14735/amko2014353
Overview
Background:
For most breast cancer patients in the Czech Republic, breast reconstruction is available only in a delayed manner. In the Masaryk Memorial Cancer Institute (MMCI), suitable candidates are offered immediate breast reconstruction using tissue expander with later exchange to a permanent silicone implant. The aim of this study was to assess patient satisfaction with this type of reconstruction.
Patients and Methods:
Sixty-two women who had undergone surgery at the MMCI from 2007 through 2013 were sent a simple questionnaire developed by our working team. Fifty-seven patients completed the questionnaire. The data were evaluated by description methods and statistical tests.
Results:
Patient response was 92%. The absolute majority of patients (56/57) would opt for this method again. The vast majority of patients (48/57) are generally satisfied with their reconstruction. Most women (8/14) younger than 50 years after the unilateral surgery would prefer synchronous contralateral prophylactic mastectomy and bilateral reconstruction if they could choose again. After bilateral surgery, reconstructed breasts are more often regarded as a part of the patient’s body. Dressed women rate their look substantially better than when they are undressed. As for self-esteem, these women are feeling excellent or good. Their psychosocial well-being in common situations is predominantly excellent. Their sexual well-being is significantly worse, and almost half of these women indicate occasional pain in their reconstructed breasts. The patients emphasize the need for appropriate information before the surgery.
Conclusion:
Immediate two-stage implant-based breast reconstruction is a suitable option for some breast cancer patients. With regard to the less natural cosmetic result and feeling of the implant-reconstructed breast, appropriate selection of women for this type of surgery is necessary and potential candidates must be thoroughly informed in the preoperative setting.
Key words:
mastectomy – mammaplasty – tissue expansion – breast implants – patient satisfaction – questionnaires – breast reconstruction
This work was supported by the European Regional Development Fund and the State Budget of the Czech Republic RECAMO CZ.1.05/2.1.00/03.0101 and MH CZ – DRO (MMCI, 00209805).
The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.
The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.
Submitted:
10. 5. 2014
Accepted:
9. 6. 2014
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