Quality of life outcomes after pedicled TRAM flap delayed breast reconstruction

Quality of life outcomes after pedicled TRAM flap delayed breast reconstruction

Author Veiga, Daniela Francescato Autor UNIFESP Google Scholar
Sabino Neto, Miguel Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Garcia, Elvio Bueno Autor UNIFESP Google Scholar
Veiga Filho, Joel Autor UNIFESP Google Scholar
Novo, Neil Ferreira Autor UNIFESP Google Scholar
Rocha, JLBS Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Pouso Alegre
Abstract Objective. To evaluate the impact of TRAM flap delayed breast reconstruction on health related quality of life in patients who had undergone mastectomy.Methods. Twenty-five patients following mastectomy were selected consecutively from the Plastic Surgery/Mastology Units of two university hospitals. All subjects underwent breast reconstruction with the use of pedicled TRAM flap. the patients' health related quality of life was assessed by a validated instrument, the SF-36 Health Survey Questionnaire. This was applied preoperatively and post-operatively at 3, 6 and 12-months follow-up. A group of 20 women with mastectomies who have not undergone breast reconstruction was used as a control. To assess patients' satisfaction with breast reconstruction we used Alderman's modified general. satisfaction subscale.Results. There was a progressive improvement in all dimensions of the SF-36, and this was statistically significant for seven of the eight dimensions. the scores were significantly higher on 'role emotional' and 'mental health' at 3 months post-operatively, on 'health perception' and 'rote physical' at month 6 and on 'physical function', 'pain', health perception and 'social function' at postoperative month 12. Despite the increase in scores, no significant changes in 'vitality' were found. There was no significant preoperative difference between the control group and studied patients, and the control group's scores were significantly tower in all dimensions when compared to postoperative month 12, except on 'physical function'. the level of patients' satisfaction with the TRAM flap breast reconstruction was high.Conclusion. the data of this study suggest that delayed breast reconstruction with the use of the pedicled TRAM flap provides an improvement in health related quality of Life of patients who have undergone mastectomy. (C) 2004 the British Association of Plastic Surgeons. Published by Elsevier B.V. All rights reserved.
Keywords plastic surgery
breast reconstruction
health
quality of life
Language English
Date 2004-04-01
Published in British Journal of Plastic Surgery. Edinburgh: Churchill Livingstone, v. 57, n. 3, p. 252-257, 2004.
ISSN 0007-1226 (Sherpa/Romeo, impact factor)
Publisher Churchill Livingstone
Extent 252-257
Origin http://dx.doi.org/10.1016/j.bjps.2003.12.029
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000220384800010
URI http://repositorio.unifesp.br/handle/11600/27678

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