Investigation of 72 Patients Following Subcutaneous Mastectomy: A Clinical Evaluation of Current Surgical Techniques

Glaumann, Barbro

doi:10.3109/02844318509074515

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…Areas of the NAC tested with these flaments are displayed in Figure 2. Sixteen studies (n = 1,785 patients) assessed patient-reported sensitivity through either validated surveys, such as Breast-Q or investigator-generated surveys [9,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]. though age was comparable between groups (p � 0.999).…”

Section: Study Characteristicsmentioning

confidence: 99%

Preserving Nipple Sensitivity after Breast Cancer Surgery: A Systematic Review and Meta-Analysis

et al. 2022

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Purpose. As breast-conserving procedures become increasingly safe and viable options for surgical management of breast cancer, efforts have focused on assessing and optimizing patient-reported outcome measures (PROMs), such as nipple sensation. This study aims to evaluate the current understanding of nipple-areolar complex (NAC) sensation outcomes in breast cancer patients undergoing breast cancer surgeries, namely, nipple-sparing mastectomies (NSM), skin-sparing mastectomies (SSM), and lumpectomies. Methods. Articles including terms related to “nipple,” “mastectomy,” “sensation,” and “patient-reported outcome” were queried from three databases according to PRISMA guidelines. Study characteristics, patient demographics, and surgical details were recorded. Outcomes of interest included objective nipple sensitivity testing and PROMs. Results. Of 888 manuscripts identified, 28 articles met the inclusion criteria. Twelve studies (n = 578 patients) used objective measures to evaluate sensitivity, such as monofilament testing. Sixteen studies (n = 1785 patients) assessed PROMs through validated or investigator-generated surveys. Three of the included studies reported NAC sensitivity in patients who received NSM with neurotization (n = 203 patients) through a variety of techniques that used various grafts to coapt a lateral intercostal nerve to the NAC nerve stumps. Results of investigator surveys showed that of 1565 patients without neurotization, nipple sensation was maintained in 29.0% (n = 453) of patients. Of 138 NSM patients without NAC neurotization, SWM testing showed an average loss of protective sensation in the nipple (average SWM score: 4.7) compared to normal or diminished sensation to light touch in nonoperated controls (average SWM score: 2.9, n = 195). Of patients who underwent NSM with neurotization, one study (n = 78) reported maintenance of NAC sensation in 100% of patients, while another study (n = 7) reported average diminished protective sensation in the nipple (average SWM score: 3.9). Conclusion. Our study has shown that objective and patient-reported results of nipple sensitivity support nipple-sparing techniques as a viable option for preserving NAC sensation, although patients can expect a decrease in sensation overall. Neurotization of the NAC during NSM shows promising results of improved postoperative nipple sensitivity, though additional studies are warranted to confirm this finding. Variations between study methodologies highlight the lack of standardization in sensory testing techniques when evaluating NAC sensation.

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Section: Study Characteristicsmentioning

confidence: 99%

Preserving Nipple Sensitivity after Breast Cancer Surgery: A Systematic Review and Meta-Analysis

et al. 2022

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“…Cicourell985). The research reported by, for example, Stefanini et al (1974), focusing on different degrees of post-cholecystectomy symptoms, Glaumann (1985) on surgical techniques of subcutaneous mastectomy and Marceau ef al. (1986) on long-term results of hyperselective vagotomy for duodenal ulcers represent this tradition of limiting the account of complications to biomedically observable phenomena.…”

Section: Introductionmentioning

confidence: 99%

Patients' and Health Care Professionals' Views of Complications after Elective Surgery

Larsson¹,

Svärdsudd

Wedel

et al. 1989

Scandinavian Caring Sciences

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In this study, which is a part of a clinical-epidemiological study of post-operative complications, the Project Peri-operative Risk (PROPER), patients' and health professionals' perceptions of complications during the patients' stay in hospital are analysed. Five hundred and ten patients admitted for elective (= planned) surgery and attending a pre-operative outpatient clinic set up for this project were seen pre-operatively and then monitored closely during and after surgery. Three months after having been operated on, they were sent a postal questionnaire in which they were asked to indicate whether they had suffered post-operative complications and to evaluate the care process. The incidence of complications reported by patients and staff was similar, but there were large differences at the individual level. Two-thirds of the staff-reported complications were not reported by the patients and vice versa. Patients generally classified complications as more severe than the staff did. Patients' evaluation of the care process was clearly related to reported complications. Most dissatisfied were those patients who reported complications not reported by the staff, and the most satisfied were those who had complications according to the staff but no complications according to themselves. The implication of these findings is discussed.

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“…As implants and the technique of SCM have improved, complications have decreased but still remain at an unsatisfactory level [13,28]. Recent prospective psychological studies began to reveal considerable nega-tive effects at least in women operated with bilateral SCM for in situ carcinoma examined at one year [22].…”

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confidence: 99%

Subcutaneous mastectomy ? surgical techniques and complications in 176 women

Ringberg

1990

Eur J Plast Surg

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Investigation of 72 Patients Following Subcutaneous Mastectomy: A Clinical Evaluation of Current Surgical Techniques

Cited by 7 publications

References 15 publications

Preserving Nipple Sensitivity after Breast Cancer Surgery: A Systematic Review and Meta-Analysis

Preserving Nipple Sensitivity after Breast Cancer Surgery: A Systematic Review and Meta-Analysis

Patients' and Health Care Professionals' Views of Complications after Elective Surgery

Subcutaneous mastectomy ? surgical techniques and complications in 176 women

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