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
Hauptverfasser: Nishioka, Hiroshi, Yasunaga, Yoshichika, Yanagisawa, Daisuke, Yuzuriha, Shunsuke, Ito, Ken-ichi
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container_end_page 1632
container_issue 12
container_start_page 1626
container_title Surgery today (Tokyo, Japan)
container_volume 50
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
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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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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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