Surgical Results, Aesthetic Outcome, and Patient Satisfaction after Microsurgical Autologous Breast Reconstruction following Failed Implant Reconstruction
The majority of breast reconstructions are performed using implant material. Implants have some major long-term disadvantages. Long-term implant-related complications and improved microsurgical techniques have led to an increased number of women requesting conversion of their implant breast reconstr...
Gespeichert in:
| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2010-07, Vol.126 (1), p.26-36 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 36 |
|---|---|
| container_issue | 1 |
| container_start_page | 26 |
| container_title | Plastic and reconstructive surgery (1963) |
| container_volume | 126 |
| creator | Visser, Noortje J. Damen, Tim H. C. Timman, Reinier Hofer, Stefan O. P. Mureau, Marc A. M. |
| description | The majority of breast reconstructions are performed using implant material. Implants have some major long-term disadvantages. Long-term implant-related complications and improved microsurgical techniques have led to an increased number of women requesting conversion of their implant breast reconstruction to autologous breast reconstruction. The aim of this study was to evaluate surgical and aesthetic outcome and patient satisfaction after tertiary autologous breast reconstruction.
Between 2001 and 2007, 42 women underwent 61 tertiary autologous breast reconstructions. Surgical outcome and complications were evaluated. Patient satisfaction was assessed using a study-specific questionnaire. Aesthetic result was rated by an expert panel using standardized photographs.
Forty-seven deep inferior epigastric artery perforator, 10 mini-transverse rectus abdominis musculocutaneous, and four transverse musculocutaneous gracilis flaps were performed. Eight patients required reoperation because of complications (19 percent). Total flap loss did not occur. Nineteen patients underwent one or more additional operations to improve aesthetic outcome. Physical discomfort caused by implants and dissatisfaction with the aesthetic result were the main patient motivations to opt for autologous breast reconstruction. Reduction or disappearance of physical discomfort was noted in the vast majority of patients. Most patients were very satisfied with the aesthetic result (mean, 8 of 10), but the mean panel satisfaction score was lower (7 of 10). However, the panel noted a significant improvement of the aesthetic result after conversion to autologous breast reconstruction (from 5 of 10 to 7 of 10).
Autologous breast reconstruction after failed implant reconstruction is a technically feasible and reliable procedure that leads to improved physical condition and aesthetic results and a high degree of patient satisfaction. |
| doi_str_mv | 10.1097/PRS.0b013e3181da87a6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733629569</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733629569</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4834-17005bfeaf4ad046bf6409c6bc434178d9eb3fcb43f4831afd7e0fbaff3986073</originalsourceid><addsrcrecordid>eNpdkc1u1DAUhS0EotPCGyDkDWLTlOvYcZLlUFGoVNSqA-voxrFnDE482I5GvApPW49mWqR6cyXruz_nHELeMbhg0Naf7u5XF9AD45qzhg3Y1ChfkAWryrYQpShfkgUALwsGVXlCTmP8BcBqLqvX5KSEqq0aXi3Iv9Uc1laho_c6zi7Fc7rUMW10sorezkn5UZ9TnAZ6h8nqKdFVrtGgStZPFE3SgX63Kvj4OGg5J-_82s-Rfg4aY8qjlZ9iCvOhyXjn_M5Oa3qF1umBXo9bh9Nz7g15ZdBF_fZYz8jPqy8_Lr8VN7dfry-XN4USDRcFqwGq3mg0AgcQsjdSQKtkrwQXrG6GVvfcqF5wk3mGZqg1mB6N4W0joeZn5ONh7jb4P3MW3402Ku3ySTqL6GrOZdlWss2kOJB7uTFo022DHTH87Rh0-1C6HEr3PJTc9v64YO5HPTw1PaaQgQ9HAGN20ASclI3_ubIF2JNP-3feZd_jbzfvdOg2Gl3adJCfrLIjJTCA7AoU-y_BHwAIPqqO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733629569</pqid></control><display><type>article</type><title>Surgical Results, Aesthetic Outcome, and Patient Satisfaction after Microsurgical Autologous Breast Reconstruction following Failed Implant Reconstruction</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Visser, Noortje J. ; Damen, Tim H. C. ; Timman, Reinier ; Hofer, Stefan O. P. ; Mureau, Marc A. M.</creator><creatorcontrib>Visser, Noortje J. ; Damen, Tim H. C. ; Timman, Reinier ; Hofer, Stefan O. P. ; Mureau, Marc A. M.</creatorcontrib><description>The majority of breast reconstructions are performed using implant material. Implants have some major long-term disadvantages. Long-term implant-related complications and improved microsurgical techniques have led to an increased number of women requesting conversion of their implant breast reconstruction to autologous breast reconstruction. The aim of this study was to evaluate surgical and aesthetic outcome and patient satisfaction after tertiary autologous breast reconstruction.
Between 2001 and 2007, 42 women underwent 61 tertiary autologous breast reconstructions. Surgical outcome and complications were evaluated. Patient satisfaction was assessed using a study-specific questionnaire. Aesthetic result was rated by an expert panel using standardized photographs.
Forty-seven deep inferior epigastric artery perforator, 10 mini-transverse rectus abdominis musculocutaneous, and four transverse musculocutaneous gracilis flaps were performed. Eight patients required reoperation because of complications (19 percent). Total flap loss did not occur. Nineteen patients underwent one or more additional operations to improve aesthetic outcome. Physical discomfort caused by implants and dissatisfaction with the aesthetic result were the main patient motivations to opt for autologous breast reconstruction. Reduction or disappearance of physical discomfort was noted in the vast majority of patients. Most patients were very satisfied with the aesthetic result (mean, 8 of 10), but the mean panel satisfaction score was lower (7 of 10). However, the panel noted a significant improvement of the aesthetic result after conversion to autologous breast reconstruction (from 5 of 10 to 7 of 10).
Autologous breast reconstruction after failed implant reconstruction is a technically feasible and reliable procedure that leads to improved physical condition and aesthetic results and a high degree of patient satisfaction.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/PRS.0b013e3181da87a6</identifier><identifier>PMID: 20595835</identifier><language>eng</language><publisher>Hagerstown, MD: American Society of Plastic Surgeons</publisher><subject>Adult ; Biological and medical sciences ; Breast Implantation - adverse effects ; Breast Implantation - psychology ; Female ; Follow-Up Studies ; Humans ; Mammaplasty - ethics ; Mammaplasty - methods ; Mammaplasty - psychology ; Medical sciences ; Microsurgery - ethics ; Microsurgery - methods ; Middle Aged ; Motivation - ethics ; Patient Satisfaction ; Rectus Abdominis - blood supply ; Rectus Abdominis - transplantation ; Reoperation - ethics ; Retrospective Studies ; Skin Transplantation - ethics ; Skin Transplantation - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; Surgical Flaps - blood supply ; Surgical Flaps - ethics ; Surveys and Questionnaires ; Time Factors ; Transplantation, Autologous ; Treatment Outcome</subject><ispartof>Plastic and reconstructive surgery (1963), 2010-07, Vol.126 (1), p.26-36</ispartof><rights>American Society of Plastic Surgeons</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4834-17005bfeaf4ad046bf6409c6bc434178d9eb3fcb43f4831afd7e0fbaff3986073</citedby><cites>FETCH-LOGICAL-c4834-17005bfeaf4ad046bf6409c6bc434178d9eb3fcb43f4831afd7e0fbaff3986073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22900958$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20595835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Visser, Noortje J.</creatorcontrib><creatorcontrib>Damen, Tim H. C.</creatorcontrib><creatorcontrib>Timman, Reinier</creatorcontrib><creatorcontrib>Hofer, Stefan O. P.</creatorcontrib><creatorcontrib>Mureau, Marc A. M.</creatorcontrib><title>Surgical Results, Aesthetic Outcome, and Patient Satisfaction after Microsurgical Autologous Breast Reconstruction following Failed Implant Reconstruction</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>The majority of breast reconstructions are performed using implant material. Implants have some major long-term disadvantages. Long-term implant-related complications and improved microsurgical techniques have led to an increased number of women requesting conversion of their implant breast reconstruction to autologous breast reconstruction. The aim of this study was to evaluate surgical and aesthetic outcome and patient satisfaction after tertiary autologous breast reconstruction.
Between 2001 and 2007, 42 women underwent 61 tertiary autologous breast reconstructions. Surgical outcome and complications were evaluated. Patient satisfaction was assessed using a study-specific questionnaire. Aesthetic result was rated by an expert panel using standardized photographs.
Forty-seven deep inferior epigastric artery perforator, 10 mini-transverse rectus abdominis musculocutaneous, and four transverse musculocutaneous gracilis flaps were performed. Eight patients required reoperation because of complications (19 percent). Total flap loss did not occur. Nineteen patients underwent one or more additional operations to improve aesthetic outcome. Physical discomfort caused by implants and dissatisfaction with the aesthetic result were the main patient motivations to opt for autologous breast reconstruction. Reduction or disappearance of physical discomfort was noted in the vast majority of patients. Most patients were very satisfied with the aesthetic result (mean, 8 of 10), but the mean panel satisfaction score was lower (7 of 10). However, the panel noted a significant improvement of the aesthetic result after conversion to autologous breast reconstruction (from 5 of 10 to 7 of 10).
Autologous breast reconstruction after failed implant reconstruction is a technically feasible and reliable procedure that leads to improved physical condition and aesthetic results and a high degree of patient satisfaction.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Breast Implantation - adverse effects</subject><subject>Breast Implantation - psychology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Mammaplasty - ethics</subject><subject>Mammaplasty - methods</subject><subject>Mammaplasty - psychology</subject><subject>Medical sciences</subject><subject>Microsurgery - ethics</subject><subject>Microsurgery - methods</subject><subject>Middle Aged</subject><subject>Motivation - ethics</subject><subject>Patient Satisfaction</subject><subject>Rectus Abdominis - blood supply</subject><subject>Rectus Abdominis - transplantation</subject><subject>Reoperation - ethics</subject><subject>Retrospective Studies</subject><subject>Skin Transplantation - ethics</subject><subject>Skin Transplantation - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Surgical Flaps - blood supply</subject><subject>Surgical Flaps - ethics</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Transplantation, Autologous</subject><subject>Treatment Outcome</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1u1DAUhS0EotPCGyDkDWLTlOvYcZLlUFGoVNSqA-voxrFnDE482I5GvApPW49mWqR6cyXruz_nHELeMbhg0Naf7u5XF9AD45qzhg3Y1ChfkAWryrYQpShfkgUALwsGVXlCTmP8BcBqLqvX5KSEqq0aXi3Iv9Uc1laho_c6zi7Fc7rUMW10sorezkn5UZ9TnAZ6h8nqKdFVrtGgStZPFE3SgX63Kvj4OGg5J-_82s-Rfg4aY8qjlZ9iCvOhyXjn_M5Oa3qF1umBXo9bh9Nz7g15ZdBF_fZYz8jPqy8_Lr8VN7dfry-XN4USDRcFqwGq3mg0AgcQsjdSQKtkrwQXrG6GVvfcqF5wk3mGZqg1mB6N4W0joeZn5ONh7jb4P3MW3402Ku3ySTqL6GrOZdlWss2kOJB7uTFo022DHTH87Rh0-1C6HEr3PJTc9v64YO5HPTw1PaaQgQ9HAGN20ASclI3_ubIF2JNP-3feZd_jbzfvdOg2Gl3adJCfrLIjJTCA7AoU-y_BHwAIPqqO</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Visser, Noortje J.</creator><creator>Damen, Tim H. C.</creator><creator>Timman, Reinier</creator><creator>Hofer, Stefan O. P.</creator><creator>Mureau, Marc A. M.</creator><general>American Society of Plastic Surgeons</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><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></search><sort><creationdate>20100701</creationdate><title>Surgical Results, Aesthetic Outcome, and Patient Satisfaction after Microsurgical Autologous Breast Reconstruction following Failed Implant Reconstruction</title><author>Visser, Noortje J. ; Damen, Tim H. C. ; Timman, Reinier ; Hofer, Stefan O. P. ; Mureau, Marc A. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4834-17005bfeaf4ad046bf6409c6bc434178d9eb3fcb43f4831afd7e0fbaff3986073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Breast Implantation - adverse effects</topic><topic>Breast Implantation - psychology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Mammaplasty - ethics</topic><topic>Mammaplasty - methods</topic><topic>Mammaplasty - psychology</topic><topic>Medical sciences</topic><topic>Microsurgery - ethics</topic><topic>Microsurgery - methods</topic><topic>Middle Aged</topic><topic>Motivation - ethics</topic><topic>Patient Satisfaction</topic><topic>Rectus Abdominis - blood supply</topic><topic>Rectus Abdominis - transplantation</topic><topic>Reoperation - ethics</topic><topic>Retrospective Studies</topic><topic>Skin Transplantation - ethics</topic><topic>Skin Transplantation - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>Surgical Flaps - blood supply</topic><topic>Surgical Flaps - ethics</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Transplantation, Autologous</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Visser, Noortje J.</creatorcontrib><creatorcontrib>Damen, Tim H. C.</creatorcontrib><creatorcontrib>Timman, Reinier</creatorcontrib><creatorcontrib>Hofer, Stefan O. P.</creatorcontrib><creatorcontrib>Mureau, Marc A. M.</creatorcontrib><collection>Pascal-Francis</collection><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>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Visser, Noortje J.</au><au>Damen, Tim H. C.</au><au>Timman, Reinier</au><au>Hofer, Stefan O. P.</au><au>Mureau, Marc A. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Results, Aesthetic Outcome, and Patient Satisfaction after Microsurgical Autologous Breast Reconstruction following Failed Implant Reconstruction</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>126</volume><issue>1</issue><spage>26</spage><epage>36</epage><pages>26-36</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>The majority of breast reconstructions are performed using implant material. Implants have some major long-term disadvantages. Long-term implant-related complications and improved microsurgical techniques have led to an increased number of women requesting conversion of their implant breast reconstruction to autologous breast reconstruction. The aim of this study was to evaluate surgical and aesthetic outcome and patient satisfaction after tertiary autologous breast reconstruction.
Between 2001 and 2007, 42 women underwent 61 tertiary autologous breast reconstructions. Surgical outcome and complications were evaluated. Patient satisfaction was assessed using a study-specific questionnaire. Aesthetic result was rated by an expert panel using standardized photographs.
Forty-seven deep inferior epigastric artery perforator, 10 mini-transverse rectus abdominis musculocutaneous, and four transverse musculocutaneous gracilis flaps were performed. Eight patients required reoperation because of complications (19 percent). Total flap loss did not occur. Nineteen patients underwent one or more additional operations to improve aesthetic outcome. Physical discomfort caused by implants and dissatisfaction with the aesthetic result were the main patient motivations to opt for autologous breast reconstruction. Reduction or disappearance of physical discomfort was noted in the vast majority of patients. Most patients were very satisfied with the aesthetic result (mean, 8 of 10), but the mean panel satisfaction score was lower (7 of 10). However, the panel noted a significant improvement of the aesthetic result after conversion to autologous breast reconstruction (from 5 of 10 to 7 of 10).
Autologous breast reconstruction after failed implant reconstruction is a technically feasible and reliable procedure that leads to improved physical condition and aesthetic results and a high degree of patient satisfaction.</abstract><cop>Hagerstown, MD</cop><pub>American Society of Plastic Surgeons</pub><pmid>20595835</pmid><doi>10.1097/PRS.0b013e3181da87a6</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0032-1052 |
| ispartof | Plastic and reconstructive surgery (1963), 2010-07, Vol.126 (1), p.26-36 |
| issn | 0032-1052 1529-4242 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733629569 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Breast Implantation - adverse effects Breast Implantation - psychology Female Follow-Up Studies Humans Mammaplasty - ethics Mammaplasty - methods Mammaplasty - psychology Medical sciences Microsurgery - ethics Microsurgery - methods Middle Aged Motivation - ethics Patient Satisfaction Rectus Abdominis - blood supply Rectus Abdominis - transplantation Reoperation - ethics Retrospective Studies Skin Transplantation - ethics Skin Transplantation - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Surgical Flaps - blood supply Surgical Flaps - ethics Surveys and Questionnaires Time Factors Transplantation, Autologous Treatment Outcome |
| title | Surgical Results, Aesthetic Outcome, and Patient Satisfaction after Microsurgical Autologous Breast Reconstruction following Failed Implant Reconstruction |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T16%3A42%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Surgical%20Results,%20Aesthetic%20Outcome,%20and%20Patient%20Satisfaction%20after%20Microsurgical%20Autologous%20Breast%20Reconstruction%20following%20Failed%20Implant%20Reconstruction&rft.jtitle=Plastic%20and%20reconstructive%20surgery%20(1963)&rft.au=Visser,%20Noortje%20J.&rft.date=2010-07-01&rft.volume=126&rft.issue=1&rft.spage=26&rft.epage=36&rft.pages=26-36&rft.issn=0032-1052&rft.eissn=1529-4242&rft_id=info:doi/10.1097/PRS.0b013e3181da87a6&rft_dat=%3Cproquest_cross%3E733629569%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=733629569&rft_id=info:pmid/20595835&rfr_iscdi=true |