A Prospective and Randomized Study, “SVEA,” Comparing Effects of Three Methods for Delayed Breast Reconstruction on Quality of Life, Patient-Defined Problem Areas of Life, and Cosmetic Result

Brandberg, Yvonne; Malm, Maj; Blomqvist, Lennart

doi:10.1097/00006534-200001000-00012

Cited by 12 publications

(13 citation statements)

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“…The incidence of abdominal complications (Table II) was overall in agreement with those reported in earlier published reports, which does vary according to the different parameters included [18][19][20][21][22][23]. The majority of the complications observed were attributable to a compromised tissue perfusion.…”

Section: Discussionsupporting

confidence: 88%

Long-term evaluation of postmastectomy breast reconstruction with the pedicled transverse rectus abdominis musculocutaneous flap

Christensen

Overgaard

Kettner

et al. 2013

Journal of Plastic Surgery and Hand Surgery

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The transverse rectus abdominis musculocutaneus (TRAM) flap is ideal for unilateral breast reconstruction. It can produce a breast with a lasting natural look, soft feeling, and good resemblance to the opposite breast. The aim was to evaluate long-term results of the TRAM flap reconstruction in an homogenous study population and to examine the impact on abdominal competence, appearance, and function relative to patient satisfaction. The study included 123 women from the cohort of patients undergoing a postmastectomy breast reconstruction in the period from 1992-2005. Data was collected from patient charts, a study-specific questionnaire, and a clinical follow-up visit. The response to the questionnaire was 81% (100/123), and 78 of them participated in a clinical follow-up visit. Eighty-four per cent were satisfied with the overall results of their breast reconstruction, and the majority of the women were pleased with the overall appearance of their abdomen. A significant correlation existed between satisfaction with the abdominal appearance and donor site complications (p = 0.01). No association was determined between complications in the breast area and smoking. A BMI above 25 increased the risk of complications. Radiation therapy (RT) significantly increased the risk of severe complications (p = 0.04) and of an inferior aesthetic result (p = 0.03). In conclusion, after a median of 6 years, women reconstructed with a TRAM flap were pleased with the overall result, with the appearance and strength of their abdomen including the umbilicus. Breast reconstruction with the pedicled TRAM flap results in lasting good results and pleased patients.

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Section: Discussionsupporting

confidence: 88%

Long-term evaluation of postmastectomy breast reconstruction with the pedicled transverse rectus abdominis musculocutaneous flap

Christensen

Overgaard

Kettner

et al. 2013

Journal of Plastic Surgery and Hand Surgery

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“…Improved ptosis of the reconstructed breast was expected, as the LTD ap transfer adds extra tissue laterally. The good values for scars were more unexpected, but con rm another Swedish study "SVEA'', in which patients who had LTD ap reconstructions were more satis ed with their scars than women who had latissimus dorsi aps or pedicled TRAM aps (7). It may re ect the importance of locating the scar lines in the lateral part of the breast, where they are less conspicuous.…”

Section: Discussionsupporting

confidence: 52%

“…This con rms most evaluations including the patient's assessment of the result of their breast reconstruction (7). Three of four women felt that the reconstructed breast was a part of the body and everyone would recommend the operation to another woman after mastectomy, despite the fact that most assessed the reconstructed breast as rmer than the normal one and found the touch and sexual sensation reduced.…”

Section: Discussionmentioning

confidence: 52%

The Lateral Thoracodorsal Flap In Breast Reconstruction: A Long Term Follow Up Study

Lossing

Elander²,

Gewalli³

et al. 2001

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Fifty-four patients were studied a mean of five years after their breasts had been reconstructed between 1984 and 1990 using the lateral thoracodorsal (LTD) flap in combination with either a thin shell, non-low-bleed (n = 35) or a thick shell, low bleed (n = 19) silicone gel implant. The rate of capsular contracture (Baker III-IV) was 11% in the first group and 10% in the second according to a modified Baker classification. Open capsulotomy was common in both groups of patients (15/35 in the first group and 13/19 in the second). Investigation by applanation tonometry of the capsular contracture agreed with the modified Baker classification. The cosmetic results were evaluated clinically and from photographs. Best scores were recorded for scars and ptosis in both evaluations. There were no significant differences between the general cosmetic results in the two groups. The patients graded their estimations of the final outcome of their breast reconstruction on a 10-point visual analogue scale (VAS); the mean for the first group was 8.7 and for the second 9.2. None of the patients regretted her operation and they would all recommend the procedure to another patient.

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“…Subjective evaluation, which is reported in most studies, includes patients' satisfaction, or an assessment of patient images by a jury [6][7][8][9][10]. Objective evaluation involves measurement of volume by magnetic resonance imaging (MRI), computed tomography (CT), mammography, water displacement, plastic cups, or thermoplastic casts, and assessment of shape and symmetry by anatomical measurements [11].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of volume and shape of breasts: Comparison between traditional and three-dimensional techniques

Eriksen

Lindgren

Olivecrona

et al. 2011

Journal of Plastic Surgery and Hand Surgery

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There have been many attempts to evaluate the shape, volume, and contour of breasts both before and after operation. To evaluate and compare results objectively in a reproducible, low-cost way is difficult. The aim of this study was to compare three-dimensional techniques with traditional methods in evaluating the volume and shape of breasts. Twelve patients with breast cancer were evaluated, 6 patients preoperatively and 6 patients postoperatively, using plastic cups, thermoplastic casts, magnetic resonance imaging (MRI), and three-dimensional imaging techniques. Thermoplastic casts and plastic cups measured better accordance with the volume of the operated breast than either the three-dimensional technique or MRI, which resulted in significantly higher values. The three-dimensional technique offered a new possibility to evaluate the shape of breasts objectively.

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A Prospective and Randomized Study, “SVEA,” Comparing Effects of Three Methods for Delayed Breast Reconstruction on Quality of Life, Patient-Defined Problem Areas of Life, and Cosmetic Result

Cited by 12 publications

References 0 publications

Long-term evaluation of postmastectomy breast reconstruction with the pedicled transverse rectus abdominis musculocutaneous flap

Long-term evaluation of postmastectomy breast reconstruction with the pedicled transverse rectus abdominis musculocutaneous flap

The Lateral Thoracodorsal Flap In Breast Reconstruction: A Long Term Follow Up Study

Evaluation of volume and shape of breasts: Comparison between traditional and three-dimensional techniques

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