Immediate breast reconstruction: who is more satisfied, the surgeon or the patient?

Bruant-Rodier, C.; Mathelin, Carole; Rodier, J. F.; Kjartansdóttir, Thordis Helga; Meyer, Nicolás

doi:10.1007/s00238-003-0583-9

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…However, when confronted with the diagnosis of breast cancer, not every patient is willing to accept microsurgery or major reconstruction with flaps because the reconstructive aspect may not be the patient's first concern. Many patients find the concept of a simple method with few potential complications, a short hospital stay, and rehabilitation more attractive than sophisticated attempts at reconstruction [11].…”

Section: Discussionmentioning

confidence: 99%

Early experience with the crescent expander in immediate and delayed breast reconstruction

Eriksen

Stark

2006

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Traditional breast expanders have known drawbacks, such as undesirable fullness at the upper pole, inadequate expansion of the residual breast tissue, and poor ptosis of the reconstructed breast. Crescent-shaped expanders are thought to improve the result in that expansion is concentrated at the basal breast pole. The aim of this prospective pilot study was to evaluate our results with the crescent-shaped expander in immediate and delayed breast reconstructions. Twenty-five patients, median age 51 (27-75) years, underwent 28 operations. The median follow-up time was 8 (4-15) months. Four patients developed complications including superficial infections, capsular contractions (Baker III-IV), and fullness of the upper pole. Three of these patients had been given irradiation. Breast reconstructions with the crescent-shaped expander allowed expansion of the lower pole and led to an anatomical breast shape. Patients' satisfaction during expansion was good. Our data indicate a correlation between complications and radiotherapy.

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Section: Discussionmentioning

confidence: 99%

Early experience with the crescent expander in immediate and delayed breast reconstruction

Eriksen

Stark

2006

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…Cependant, ces reconstructions mammaires immé-diates favorisent le risque d'un déni de la maladie et peuvent parfois leurrer les femmes sur le résultat de la reconstruction, les patientes ayant davantage de difficultés à faire le deuil de leur poitrine d'origine [5]. Lorsque la reconstruction est différée et fait suite à une période sans sein, elle est souvent mieux acceptée par les patientes.…”

Section: Le Moment De La Reconstruction Mammaireunclassified

Les reconstructions mammaires : enjeux médicaux et psychologiques

2008

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Les conséquences psychiques d'une mastectomie varient subjectivement d'une femme à l'autre, entraînant des perturbations plus ou moins profondes de la féminité et de la sexualité. La reconstruction mammaire constitue une réponse à la détresse psychique des femmes qui subissent une ablation du sein, et cela par la pratique d'une chirurgie plastique se voulant réparatrice. Néanmoins, la reconstruction ne dispense pas de la question du deuil du sein perdu et de l'appropriation du sein reconstruit. Ainsi s'engage un cheminement psychique singulier face à l'altération visible et intérieure de la féminité.Abstract: Psychological disorders following mastectomy are numerous and vary with breast cancer prognosis, adjuvant treatments and patients' characteristics. In some cases, mastectomy can lead to feminine and sexual disorders. Reconstructive breast surgery has proved to be beneficial to improve these psychological disorders. Nonetheless, even if breast reconstruction leads to favourable aesthetic outcome, breast mourning must be taken into account and the reconstructed breast must be appropriated and accepted by the patient. A psychological ''reconstruction'' is concomitantly necessary to face visible and profound femininity and self-esteem alteration.

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“…Not all patients with soft tissue deficiencies are willing to accept a complicated microsurgical approach. A recent study showed that most patients are just as satisfied with a more simple reconstruction [8]. The LDF can be considered as an alternative method in these circumstances.…”

Section: Introductionmentioning

confidence: 97%

The latissimus dorsi flap - still a valuable tool in breast reconstruction: Report of 32 cases

Eriksen

Stark

2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Breast reconstruction with a pedicled latissimus dorsi flap (LDF), with or without implants, is an established method. At the Breast Cancer Unit, Huddinge University Hospital, 32 patients with soft tissue deficiencies of the chest such as damaged skin or lack of pectoral muscle after the initial operation, or complications of radiotherapy had breasts reconstructed with a pedicled LDF during the years 2002-2004. We made a retrospective assessment of the results of this procedure, which showed that the pedicled LDF, usually combined with an implant, still should be considered as an option to microsurgery as it is safe, with great satisfaction and few complications.

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Immediate breast reconstruction: who is more satisfied, the surgeon or the patient?

Cited by 5 publications

References 5 publications

Early experience with the crescent expander in immediate and delayed breast reconstruction

Early experience with the crescent expander in immediate and delayed breast reconstruction

Les reconstructions mammaires : enjeux médicaux et psychologiques

The latissimus dorsi flap - still a valuable tool in breast reconstruction: Report of 32 cases

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