Subcutaneous mastectomy with implant reconstruction: cosmetic outcome and patient satisfaction

Citation
Sk. Al-ghazal et Rw. Blamey, Subcutaneous mastectomy with implant reconstruction: cosmetic outcome and patient satisfaction, EUR J SUR O, 26(2), 2000, pp. 137-141
Citations number
32
Categorie Soggetti
Oncology
Journal title
EUROPEAN JOURNAL OF SURGICAL ONCOLOGY
ISSN journal
07487983 → ACNP
Volume
26
Issue
2
Year of publication
2000
Pages
137 - 141
Database
ISI
SICI code
0748-7983(200003)26:2<137:SMWIRC>2.0.ZU;2-7
Abstract
Aims: To assess the cosmetic outcome and satisfaction of patients who have undergone subcutaneous mastectomy (SCM) with silicon implant reconstruction and to investigate the factors influencing cosmesis. Methods: A total of 101 patients who had had SCM implant reconstruction for treatment of primary breast cancer were assessed for cosmesis by a panel u sing photographic assessment. Satisfaction and sexuality were studied by a self-evaluation questionnaire. Results: A good to excellent cosmetic result was achieved in 71 (70.3%) pat ients land in 85% of the group who had immediate insertion of the implant). Eighty-one patients (81%) were moderately or very satisfied (96% of the imm ediate reconstruction group were so). Factors found to influence cosmesis p ositively were submuscular insertion of the implant (P<0.001, the lateral i ncision approach (P<0.001) and immediate reconstruction (P<0.001). Conclusion: The findings of this study support the use of SCM with implant reconstruction as the simplest option in those advised to undergo mastectom y and who wish for reconstruction.