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Erschienen in: Archives of Gynecology and Obstetrics 4/2017

02.09.2017 | Gynecologic Oncology

Patients’ experience of breast reconstruction after mastectomy and its influence on postoperative satisfaction

verfasst von: Jana L. Schmidt, Cordula M. Wetzel, Klaus W. Lange, Norbert Heine, Olaf Ortmann

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2017

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Abstract

Purpose

Breast cancer patients have the option to choose a breast reconstruction after mastectomy. A range of studies have postulated that patients’ individually appraised significance of their breast is an important factor in the decision for or against breast reconstruction. This study explored the individually perceived significance of the breast among patients with and without breast reconstruction and its correlation with postoperative satisfaction.

Methods

Ten patients without breast reconstruction, and ten patients with immediate breast reconstruction after mastectomy participated in the study. The perceived importance of the breast and the pre-and postoperative esthetic satisfaction of the patients were obtained using an 11-point Likert scale. Qualitative interviews explored patients’ views on the meaning of their breast and their experience after surgery.

Results

Patients who had decided for breast reconstruction rated the importance of their breast for femininity (p = 0.004) and attractiveness (p = 0.037) significantly higher than patients without reconstruction. The qualitative data provide evidence that the breast of a woman fulfills a variety of intrapsychic and interactional functions. Difficulties in integrating the reconstructed breast into the body image were reported. A high importance of the breast correlated significantly with a decrease in satisfaction with the breast after reconstruction (rs = −0.652, p = 0.041).

Conclusions

Patients who found their breast to be highly important were more likely to decide for a reconstruction. Mastectomy has an impact on various psychosocial variables but impairments may also occur after breast reconstruction. Patients reporting a high significance of their breast showed the greatest decrease in satisfaction with their breast after reconstruction.
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Metadaten
Titel
Patients’ experience of breast reconstruction after mastectomy and its influence on postoperative satisfaction
verfasst von
Jana L. Schmidt
Cordula M. Wetzel
Klaus W. Lange
Norbert Heine
Olaf Ortmann
Publikationsdatum
02.09.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 4/2017
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-017-4495-5

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