Skip to main content
main-content

21.04.2020 | Original Paper | Ausgabe 6/2020

European Journal of Plastic Surgery 6/2020

Patient satisfaction with breast reconstruction: how much do timing and surgical technique matter?

Zeitschrift:
European Journal of Plastic Surgery > Ausgabe 6/2020
Autoren:
Íris M. Brito, Andreia Fernandes, Carolina Andresen, Rui Barbosa, Matilde Ribeiro, Rita Valença-Filipe
Wichtige Hinweise

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Background

Breast reconstruction (BR) has revealed significant benefits on physical and psychological well-being. Satisfaction is currently a key outcome on BR. This study aimed to assess the impact of timing and reconstructive technique on satisfaction, monitoring the influence of patient’s characteristics and complications.

Methods

A single-center study of women undergoing primary BR over a 4.5-year period was conducted. Demographics, clinical features, procedural data, and postoperative complications were assessed. Patient satisfaction was evaluated with the BREAST-Q™. Influence of BR timing (immediate vs. delayed) and surgical technique (autologous vs. implant-based) on satisfaction was analyzed. Univariate and multivariate analyses were performed to identify independent predictors of satisfaction.

Results

Global response rate to BREAST-Q™ was 76.1% (216 from 284 patients). Responders underwent delayed BR in 67.6%, and autologous BR in 68.5%, with a 30.1% overall complication rate. Timing demonstrated significant impact on satisfaction (p = 0.001), with delayed reconstruction showing a higher mean BREAST-Q™ score. Autologous reconstruction also had a significantly higher BREAST-Q™ (p = 0.002). Transverse rectus abdominis myocutaneous flap presented the highest score, followed by latissimus dorsi with implant, and implant-based showed the lowest satisfaction (p = 0.004). Multivariate regression analysis identified timing, minor complications, and smoking status as independent impact factors of satisfaction (p = 0.001, p = 0.043, and p = 0.011, respectively).

Conclusions

Timing significantly affected satisfaction (delayed reconstruction evidencing positive influence). Technique did not reach significance as independent predictor. Smoking and minor complications showed negative influence. Meaningful satisfaction with delayed reconstruction may encourage BR in the majority of patients, even those with medical or oncologic risks that precluded immediate reconstruction.
Level of evidence: Not ratable.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Alle e.Med Abos bis 30. April 2021 zum halben Preis!

Jetzt e.Med zum Sonderpreis bestellen!

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 6/2020

European Journal of Plastic Surgery 6/2020 Zur Ausgabe
  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.

  2. Sie können e.Med Chirurgie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Neu im Fachgebiet Chirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise