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Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi breast reconstruction: A review of patient satisfaction

机译:自体拉拔乳房重建中立即乳化重建的皮肤熏蒸乳房切除术:患者满意度综述

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摘要

Background Nipple-areolar complex (NAC) reconstruction following curative mastectomy is traditionally performed as a second-stage procedure several months after initial breast reconstruction. The recent literature has documented the increasing popularity of immediate nipple reconstruction carried out simultaneously during autologous reconstruction. The aim of this study was to evaluate the surgical outcomes and patient satisfaction with immediate breast and nipple reconstruction performed in a single stage after skin-sparing mastectomy. Methods All patients who underwent a skin-sparing mastectomy with immediate latissimus dorsi flap breast and NAC reconstruction as a single-stage procedure from 2007 to 2015 were included. Patient demographics, oncologic details, and surgical outcomes were recorded. The BREAST-Q questionnaire was administered to patients to assess the impact and effectiveness of this reconstructive strategy. Results During the study period, 34 breast and NAC reconstructions in 29 patients were performed at Cork University Hospital. The majority of our patient cohort were non-smokers (93.1%) and did not receive adjuvant radiotherapy. Postoperative complications were infrequent, with no cases of partial necrosis or complete loss of the nipple. The response rate to the BREAST-Q was 62% (n=18). Patients reported high levels of satisfaction with the reconstructed breast (62±4), nipple reconstruction (61±4.8), overall outcome (74.3±5), and psychosocialwell-being (77.7±3.2). Conclusions Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi reconstruction was demonstrated to be a safe and aesthetically reliable procedure in our cohort, yielding high levels of psychological and physical well-being. A single-stage procedure promotes psychosocial well-being involving issues that are intrinsically linked with breast cancer surgery.
机译:背景技术在初始乳房重建后几个月的疗效乳房切除术后的乳化乳液复合物(NAC)重建在传统上作为第二阶段进行。最近的文献记录了在自体重建期间同时进行的即时乳头重建的越来越普及。本研究的目的是评估手术结果和患者满意,在皮肤缓冲乳房切除术后在单一阶段进行立即进行的乳房和乳头重建。方法包括所有患有立即乳化乳房切除术的患者,直接享受乳房切除术,并作为从2007年至2015年从2007年到2015年的单级程序重建。记录了患者人口统计学,肿瘤细节和手术结果。乳腺Q调查问卷被施用给患者,以评估这种重建策略的影响和有效性。结果在研究期间,在科克大学医院进行了34例患者中的34例乳腺和NAC重建。我们的大多数患者队列是非吸烟者(93.1%)并且没有接受佐剂放射治疗。术后并发症令人耐知,没有部分坏死或乳头的完全丧失。乳腺Q的响应率为62%(n = 18)。患者报告了与重建的乳房(62±4),乳头重建(61±4.8),总体结果(74.3±5)和心理外套(77.7±3.2)的满意度高。结论在自动拉脱番糖重建期间,在自动乳头重建期间皮肤熏蒸乳房切除术在我们的队列中是一种安全和美学上可靠的手术,产生高水平的心理和身体福祉。单级程序促进了心理社会幸福,涉及与乳腺癌手术有本质相关的问题。

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