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Patient Satisfaction and Quality of Life in DIEAP Flap versus Implant Breast Reconstruction.

Sgarzani R, Negosanti L, Morselli PG, Vietti Michelina V, Lapalorcia LM, Cipriani R - Surg Res Pract (2015)

Bottom Line: In breast reconstruction, the goal is not only the morphological result, but mainly the patient's perception of it.The objective of our study is to compare the physical and psychosocial well-being and satisfaction concerning the body image of patients who had reconstruction with breast implants to those of patients who had reconstruction with deep inferior epigastric artery perforator flaps.Feedback from patients who have already received breast reconstruction may be useful in the decision-making process for future patients and plastic surgeons, enabling both to choose the reconstructive technique with the best long-term satisfaction.

View Article: PubMed Central - PubMed

Affiliation: Plastic Surgery Department, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.

ABSTRACT
The psychological impact of breast reconstruction has widely been described, and multiple studies show that reconstruction improves the well-being and quality of life of patients. In breast reconstruction, the goal is not only the morphological result, but mainly the patient's perception of it. The objective of our study is to compare the physical and psychosocial well-being and satisfaction concerning the body image of patients who had reconstruction with breast implants to those of patients who had reconstruction with deep inferior epigastric artery perforator flaps. Our results demonstrated a similar quality of life between the two groups, but the satisfaction level was significantly higher in patients who had reconstruction with autologous tissue. Feedback from patients who have already received breast reconstruction may be useful in the decision-making process for future patients and plastic surgeons, enabling both to choose the reconstructive technique with the best long-term satisfaction.

No MeSH data available.


Related in: MedlinePlus

Box plot showing satisfaction with the reconstructed breast.
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Related In: Results  -  Collection


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fig1: Box plot showing satisfaction with the reconstructed breast.

Mentions: In all subscales, patients undergoing breast reconstruction with a DIEAP flap reported higher scores, but the score reached statistical significance only in satisfaction with the reconstructed breast (Figure 1) (implants 2.8393 out of 4; DIEAP 3.3427 out of 4) (P < 0.002), overall result (implants 2.6667 out of 3; DIEAP 2.7576 out of 3) (P < 0.041), and nipple areola complex (NAC) reconstruction (implants 2.6471 out of 4; DIEAP 3.2208 out of 4) (P < 0.007) (Table 2).


Patient Satisfaction and Quality of Life in DIEAP Flap versus Implant Breast Reconstruction.

Sgarzani R, Negosanti L, Morselli PG, Vietti Michelina V, Lapalorcia LM, Cipriani R - Surg Res Pract (2015)

Box plot showing satisfaction with the reconstructed breast.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4663364&req=5

fig1: Box plot showing satisfaction with the reconstructed breast.
Mentions: In all subscales, patients undergoing breast reconstruction with a DIEAP flap reported higher scores, but the score reached statistical significance only in satisfaction with the reconstructed breast (Figure 1) (implants 2.8393 out of 4; DIEAP 3.3427 out of 4) (P < 0.002), overall result (implants 2.6667 out of 3; DIEAP 2.7576 out of 3) (P < 0.041), and nipple areola complex (NAC) reconstruction (implants 2.6471 out of 4; DIEAP 3.2208 out of 4) (P < 0.007) (Table 2).

Bottom Line: In breast reconstruction, the goal is not only the morphological result, but mainly the patient's perception of it.The objective of our study is to compare the physical and psychosocial well-being and satisfaction concerning the body image of patients who had reconstruction with breast implants to those of patients who had reconstruction with deep inferior epigastric artery perforator flaps.Feedback from patients who have already received breast reconstruction may be useful in the decision-making process for future patients and plastic surgeons, enabling both to choose the reconstructive technique with the best long-term satisfaction.

View Article: PubMed Central - PubMed

Affiliation: Plastic Surgery Department, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.

ABSTRACT
The psychological impact of breast reconstruction has widely been described, and multiple studies show that reconstruction improves the well-being and quality of life of patients. In breast reconstruction, the goal is not only the morphological result, but mainly the patient's perception of it. The objective of our study is to compare the physical and psychosocial well-being and satisfaction concerning the body image of patients who had reconstruction with breast implants to those of patients who had reconstruction with deep inferior epigastric artery perforator flaps. Our results demonstrated a similar quality of life between the two groups, but the satisfaction level was significantly higher in patients who had reconstruction with autologous tissue. Feedback from patients who have already received breast reconstruction may be useful in the decision-making process for future patients and plastic surgeons, enabling both to choose the reconstructive technique with the best long-term satisfaction.

No MeSH data available.


Related in: MedlinePlus