Abstract
Reconstruction of the female breast is becoming ever more frequently requested by patients after mastectomy for cancer. One of the least complex techniques is that of local tissue expansion with a permanent prosthesis. We present our experience and the clinical outcomes of the first 100 patients to have undergone surgery in the 4 years since the introduction of this method of breast reconstruction in our unit. A retrospective study was performed with a detailed questionnaire being sent to each patient for subjective assessment of satisfaction. Data were also collected on the rates of clinical infection of the prosthesis and the need for further surgery, including capsulotomy, nipple reconstruction and contralateral procedures. With 84% expressing their satisfaction at the final result, immediate breast reconstruction is both feasible and highly acceptable to the majority of patients.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Becker H. Breast reconstruction using an inflatable breast implant with detachable reservoir. Plast Reconstr Surg. 1984 Apr;73(4):678–683. doi: 10.1097/00006534-198404000-00031. [DOI] [PubMed] [Google Scholar]
- Etter J. F., Perneger T. V., Rougemont A. Does sponsorship matter in patient satisfaction surveys? A randomized trial. Med Care. 1996 Apr;34(4):327–335. doi: 10.1097/00005650-199604000-00004. [DOI] [PubMed] [Google Scholar]
- Evans A. A., Straker V. F., Rainsbury R. M. Breast reconstruction at a district general hospital. J R Soc Med. 1993 Nov;86(11):630–633. [PMC free article] [PubMed] [Google Scholar]
- Haugen M. M., Evans C. B., Kim M. H. Patient satisfaction with a levonorgestrel-releasing contraceptive implant. Reasons for and patterns of removal. J Reprod Med. 1996 Nov;41(11):849–854. [PubMed] [Google Scholar]
- Kroll S. S., Baldwin B. A comparison of outcomes using three different methods of breast reconstruction. Plast Reconstr Surg. 1992 Sep;90(3):455–462. doi: 10.1097/00006534-199209000-00015. [DOI] [PubMed] [Google Scholar]
- McGhee C. N., Orr D., Kidd B., Stark C., Bryce I. G., Anastas C. N. Psychological aspects of excimer laser surgery for myopia: reasons for seeking treatment and patient satisfaction. Br J Ophthalmol. 1996 Oct;80(10):874–879. doi: 10.1136/bjo.80.10.874. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Noone R. B., Murphy J. B., Spear S. L., Little J. W., 3rd A 6-year experience with immediate reconstruction after mastectomy for cancer. Plast Reconstr Surg. 1985 Aug;76(2):258–269. doi: 10.1097/00006534-198508000-00012. [DOI] [PubMed] [Google Scholar]
- Olenius M., Jurell G. Breast reconstruction using tissue expansion. Scand J Plast Reconstr Surg Hand Surg. 1992;26(1):83–90. doi: 10.3109/02844319209035188. [DOI] [PubMed] [Google Scholar]
- Persoff M. M. Achieving symmetry in the tissue-expanded breast reconstruction. Aesthetic Plast Surg. 1991 Spring;15(2):133–139. doi: 10.1007/BF02273846. [DOI] [PubMed] [Google Scholar]
- Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982 Feb;69(2):195–208. doi: 10.1097/00006534-198202000-00001. [DOI] [PubMed] [Google Scholar]
- Ramon Y., Ullmann Y., Moscona R., Ofiram E., Tamir A., Har-Shai Y., Toledano H., Barzilai A., Peled I. J. Aesthetic results and patient satisfaction with immediate breast reconstruction using tissue expansion: a follow-up study. Plast Reconstr Surg. 1997 Mar;99(3):686–691. doi: 10.1097/00006534-199703000-00013. [DOI] [PubMed] [Google Scholar]
- Schain W. S., Wellisch D. K., Pasnau R. O., Landsverk J. The sooner the better: a study of psychological factors in women undergoing immediate versus delayed breast reconstruction. Am J Psychiatry. 1985 Jan;142(1):40–46. doi: 10.1176/ajp.142.9.A40. [DOI] [PubMed] [Google Scholar]
- Slavin S. A., Love S. M., Goldwyn R. M. Recurrent breast cancer following immediate reconstruction with myocutaneous flaps. Plast Reconstr Surg. 1994 May;93(6):1191–1207. doi: 10.1097/00006534-199405000-00013. [DOI] [PubMed] [Google Scholar]
- Stevens L. A., McGrath M. H., Druss R. G., Kister S. J., Gump F. E., Forde K. A. The psychological impact of immediate breast reconstruction for women with early breast cancer. Plast Reconstr Surg. 1984 Apr;73(4):619–628. doi: 10.1097/00006534-198404000-00018. [DOI] [PubMed] [Google Scholar]
- Trabulsy P. P., Anthony J. P., Mathes S. J. Changing trends in postmastectomy breast reconstruction: a 13-year experience. Plast Reconstr Surg. 1994 Jun;93(7):1418–1427. doi: 10.1097/00006534-199406000-00014. [DOI] [PubMed] [Google Scholar]
- Wickman M. Comparison between rapid and slow tissue expansion in breast reconstruction. Plast Reconstr Surg. 1993 Apr;91(4):663–672. [PubMed] [Google Scholar]
- Wickman M. Rapid versus slow tissue expansion for breast reconstruction: a three-year follow-up. Plast Reconstr Surg. 1995 Apr;95(4):712–718. doi: 10.1097/00006534-199504000-00013. [DOI] [PubMed] [Google Scholar]