Where do you insert a drain tube during breast reconstruction?
Purpose A drain tube is commonly inserted during breast reconstruction surgery. This leads to a scar in addition to the scar on the breast. This study was performed to investigate how patients feel about the drain scar and to clarify its ideal location. Methods A questionnaire survey about the drain...
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Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2020-12, Vol.50 (12), p.1626-1632 |
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creator | Nishioka, Hiroshi Yasunaga, Yoshichika Yanagisawa, Daisuke Yuzuriha, Shunsuke Ito, Ken-ichi |
description | Purpose
A drain tube is commonly inserted during breast reconstruction surgery. This leads to a scar in addition to the scar on the breast. This study was performed to investigate how patients feel about the drain scar and to clarify its ideal location.
Methods
A questionnaire survey about the drain scar was distributed to 38 consecutive breast reconstruction patients and a total of 104 female doctors and nurses engaged in breast reconstruction. The drain scars were evaluated using the Japan Scar Workshop (JSW) Scar Scale.
Results
A total of 32% of the patients expressed some anxiety about the drain scar. Patients who were anxious about the drain scar had higher scores on the JSW Scar Scale than those who were not anxious. Younger doctors and nurses preferred the drain scar to be on the side of the chest, while older doctors and nurses preferred the drain scars to be at the axilla.
Conclusions
About a third of the patients had some anxiety associated with their drain scar after breast reconstruction surgery, and this anxiety level was correlated with objective assessment of the scar. Thus, more patient involvement or the provision of more information regarding drain placement is required. |
doi_str_mv | 10.1007/s00595-020-02043-1 |
format | Article |
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A drain tube is commonly inserted during breast reconstruction surgery. This leads to a scar in addition to the scar on the breast. This study was performed to investigate how patients feel about the drain scar and to clarify its ideal location.
Methods
A questionnaire survey about the drain scar was distributed to 38 consecutive breast reconstruction patients and a total of 104 female doctors and nurses engaged in breast reconstruction. The drain scars were evaluated using the Japan Scar Workshop (JSW) Scar Scale.
Results
A total of 32% of the patients expressed some anxiety about the drain scar. Patients who were anxious about the drain scar had higher scores on the JSW Scar Scale than those who were not anxious. Younger doctors and nurses preferred the drain scar to be on the side of the chest, while older doctors and nurses preferred the drain scars to be at the axilla.
Conclusions
About a third of the patients had some anxiety associated with their drain scar after breast reconstruction surgery, and this anxiety level was correlated with objective assessment of the scar. Thus, more patient involvement or the provision of more information regarding drain placement is required.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-020-02043-1</identifier><identifier>PMID: 32507906</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Adult ; Age Factors ; Aged ; Anxiety ; Breast - surgery ; Cicatrix - etiology ; Cicatrix - prevention & control ; Cicatrix - psychology ; Drainage - adverse effects ; Drainage - instrumentation ; Drainage - methods ; Drainage - psychology ; Female ; Humans ; Intraoperative Care - instrumentation ; Intraoperative Care - methods ; Intraoperative Care - psychology ; Intubation - methods ; Intubation - psychology ; Japan ; Medicine ; Medicine & Public Health ; Middle Aged ; Nurses - psychology ; Original Article ; Patient Outcome Assessment ; Patient Participation ; Patients - psychology ; Physicians - psychology ; Reconstructive Surgical Procedures - instrumentation ; Reconstructive Surgical Procedures - methods ; Reconstructive Surgical Procedures - psychology ; Surgery ; Surgical Oncology ; Surveys and Questionnaires</subject><ispartof>Surgery today (Tokyo, Japan), 2020-12, Vol.50 (12), p.1626-1632</ispartof><rights>Springer Nature Singapore Pte Ltd. 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-55104a0b58d7bd11f3b82e18e7ccbdfc8408f29b73211ecdeb1d643c6923b8fe3</citedby><cites>FETCH-LOGICAL-c371t-55104a0b58d7bd11f3b82e18e7ccbdfc8408f29b73211ecdeb1d643c6923b8fe3</cites><orcidid>0000-0003-3075-2900</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-020-02043-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-020-02043-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32507906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishioka, Hiroshi</creatorcontrib><creatorcontrib>Yasunaga, Yoshichika</creatorcontrib><creatorcontrib>Yanagisawa, Daisuke</creatorcontrib><creatorcontrib>Yuzuriha, Shunsuke</creatorcontrib><creatorcontrib>Ito, Ken-ichi</creatorcontrib><title>Where do you insert a drain tube during breast reconstruction?</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
A drain tube is commonly inserted during breast reconstruction surgery. This leads to a scar in addition to the scar on the breast. This study was performed to investigate how patients feel about the drain scar and to clarify its ideal location.
Methods
A questionnaire survey about the drain scar was distributed to 38 consecutive breast reconstruction patients and a total of 104 female doctors and nurses engaged in breast reconstruction. The drain scars were evaluated using the Japan Scar Workshop (JSW) Scar Scale.
Results
A total of 32% of the patients expressed some anxiety about the drain scar. Patients who were anxious about the drain scar had higher scores on the JSW Scar Scale than those who were not anxious. Younger doctors and nurses preferred the drain scar to be on the side of the chest, while older doctors and nurses preferred the drain scars to be at the axilla.
Conclusions
About a third of the patients had some anxiety associated with their drain scar after breast reconstruction surgery, and this anxiety level was correlated with objective assessment of the scar. Thus, more patient involvement or the provision of more information regarding drain placement is required.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Breast - surgery</subject><subject>Cicatrix - etiology</subject><subject>Cicatrix - prevention & control</subject><subject>Cicatrix - psychology</subject><subject>Drainage - adverse effects</subject><subject>Drainage - instrumentation</subject><subject>Drainage - methods</subject><subject>Drainage - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Care - instrumentation</subject><subject>Intraoperative Care - methods</subject><subject>Intraoperative Care - psychology</subject><subject>Intubation - methods</subject><subject>Intubation - psychology</subject><subject>Japan</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nurses - psychology</subject><subject>Original Article</subject><subject>Patient Outcome Assessment</subject><subject>Patient Participation</subject><subject>Patients - psychology</subject><subject>Physicians - psychology</subject><subject>Reconstructive Surgical Procedures - instrumentation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Reconstructive Surgical Procedures - psychology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Surveys and Questionnaires</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxhQRpbAne00zgJCFV9SJRYQoxXbF0jVxsVOhv57ElIYGU433PO-0j2MnSNcIUB-HQGyIkuBwzBSpHjApijFPOUKxSGbQiExRV7ghJ3EuALgUgEcs4ngGeQFzKfs5v2TAiXOJzvfJXUTKbRJmbhQ1k3SdqY_daFuPhITqIxtEsj6Jrahs23tm9tTdlSV60hn-z1jbw_3r4undPny-Ly4W6ZW5NimWYYgSzCZcrlxiJUwihMqyq01rrJKgqp4YXLBEck6MujmUth5wXuyIjFjl2PvNvivjmKrN3W0tF6XDfkuai4RclBKYo_yEbXBxxio0ttQb8qw0wh68KZHb7p3pn-86SF0se_vzIbcX-RXVA-IEYjbQQcFvfJdaPqf_6v9BrXed_o</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Nishioka, Hiroshi</creator><creator>Yasunaga, Yoshichika</creator><creator>Yanagisawa, Daisuke</creator><creator>Yuzuriha, Shunsuke</creator><creator>Ito, Ken-ichi</creator><general>Springer Singapore</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3075-2900</orcidid></search><sort><creationdate>20201201</creationdate><title>Where do you insert a drain tube during breast reconstruction?</title><author>Nishioka, Hiroshi ; Yasunaga, Yoshichika ; Yanagisawa, Daisuke ; Yuzuriha, Shunsuke ; Ito, Ken-ichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-55104a0b58d7bd11f3b82e18e7ccbdfc8408f29b73211ecdeb1d643c6923b8fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Breast - surgery</topic><topic>Cicatrix - etiology</topic><topic>Cicatrix - prevention & control</topic><topic>Cicatrix - psychology</topic><topic>Drainage - adverse effects</topic><topic>Drainage - instrumentation</topic><topic>Drainage - methods</topic><topic>Drainage - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Care - instrumentation</topic><topic>Intraoperative Care - methods</topic><topic>Intraoperative Care - psychology</topic><topic>Intubation - methods</topic><topic>Intubation - psychology</topic><topic>Japan</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nurses - psychology</topic><topic>Original Article</topic><topic>Patient Outcome Assessment</topic><topic>Patient Participation</topic><topic>Patients - psychology</topic><topic>Physicians - psychology</topic><topic>Reconstructive Surgical Procedures - instrumentation</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Reconstructive Surgical Procedures - psychology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishioka, Hiroshi</creatorcontrib><creatorcontrib>Yasunaga, Yoshichika</creatorcontrib><creatorcontrib>Yanagisawa, Daisuke</creatorcontrib><creatorcontrib>Yuzuriha, Shunsuke</creatorcontrib><creatorcontrib>Ito, Ken-ichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishioka, Hiroshi</au><au>Yasunaga, Yoshichika</au><au>Yanagisawa, Daisuke</au><au>Yuzuriha, Shunsuke</au><au>Ito, Ken-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Where do you insert a drain tube during breast reconstruction?</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>50</volume><issue>12</issue><spage>1626</spage><epage>1632</epage><pages>1626-1632</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
A drain tube is commonly inserted during breast reconstruction surgery. This leads to a scar in addition to the scar on the breast. This study was performed to investigate how patients feel about the drain scar and to clarify its ideal location.
Methods
A questionnaire survey about the drain scar was distributed to 38 consecutive breast reconstruction patients and a total of 104 female doctors and nurses engaged in breast reconstruction. The drain scars were evaluated using the Japan Scar Workshop (JSW) Scar Scale.
Results
A total of 32% of the patients expressed some anxiety about the drain scar. Patients who were anxious about the drain scar had higher scores on the JSW Scar Scale than those who were not anxious. Younger doctors and nurses preferred the drain scar to be on the side of the chest, while older doctors and nurses preferred the drain scars to be at the axilla.
Conclusions
About a third of the patients had some anxiety associated with their drain scar after breast reconstruction surgery, and this anxiety level was correlated with objective assessment of the scar. Thus, more patient involvement or the provision of more information regarding drain placement is required.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>32507906</pmid><doi>10.1007/s00595-020-02043-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3075-2900</orcidid></addata></record> |
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subjects | Adult Age Factors Aged Anxiety Breast - surgery Cicatrix - etiology Cicatrix - prevention & control Cicatrix - psychology Drainage - adverse effects Drainage - instrumentation Drainage - methods Drainage - psychology Female Humans Intraoperative Care - instrumentation Intraoperative Care - methods Intraoperative Care - psychology Intubation - methods Intubation - psychology Japan Medicine Medicine & Public Health Middle Aged Nurses - psychology Original Article Patient Outcome Assessment Patient Participation Patients - psychology Physicians - psychology Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Reconstructive Surgical Procedures - psychology Surgery Surgical Oncology Surveys and Questionnaires |
title | Where do you insert a drain tube during breast reconstruction? |
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