Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery
Purpose A series of investigations proposed that patients’ preference on minimal invasive and scarless surgery may be influenced by age, sex, and surgical as well as endoscopic history of the individual patient. However, it is unknown which psychological criteria lead to the acceptance of increased...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2011-03, Vol.396 (3), p.331-336 |
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| creator | Lamadé, Wolfram Friedrich, Colin Ulmer, Christoph Basar, Tarkan Weiβ, Heinz Thon, Klaus-Peter |
| description | Purpose
A series of investigations proposed that patients’ preference on minimal invasive and scarless surgery may be influenced by age, sex, and surgical as well as endoscopic history of the individual patient. However, it is unknown which psychological criteria lead to the acceptance of increased personal surgical risk or increased personal expenses in patients demanding scarless operations. We investigated whether individual body image contributes to the patient’s readiness to assume higher risk in favor of potentially increased cosmesis.
Materials and methods
We conducted a nonrandomized survey among 63 consecutive surgical patients after receiving surgery. Individual body image perception was assessed postoperatively applying the FKB-20 questionnaire extended by four additional items. The FKB-20 questionnaire is a validated tool for measuring body image disturbances resulting in a two-dimensional score with negative body image (NBI) and vital body dynamics (VBD) being the two resulting scores. A subgroup analysis was performed according to the conducted operations: conventional open surgery = group 1, traditional laparoscopic surgery = group 2, and no scar surgery = group 3.
Results
There was a significant correlation between a negative body image and the preference for scar sparing and scarless surgery indicated by a significantly increased acceptance of surgical risks and the willingness to spend additional money for receiving scarless surgery (
r
= 0.333;
p
= 0.0227). Allocated to operation subgroups, 17 of 63 patients belonged to group 1 (OS), 29 to group 2 (minimally invasive surgery), and 17 patients to group 3 (no scar). Although age and sex were unequally distributed, the groups were homogenous regarding body mass index and body image (NBI). Subgroup analysis revealed that postoperative desire for scar sparing approaches was most frequently expressed by patients who received no scar operations.
Conclusions
Patients with an NBI tend towards scarless surgery and are willing to accept increased operative risk and to spend additional money for improved postoperative cosmesis. |
| doi_str_mv | 10.1007/s00423-010-0669-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_859490100</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>859490100</sourcerecordid><originalsourceid>FETCH-LOGICAL-c343t-f15f012049eb1cef0ac884b49d0f8e3f40b2c427a85156ac5b64ad38ad88c90a3</originalsourceid><addsrcrecordid>eNp9kMtO3DAUhq2qqDOFPkA3yLtuCBxfkkmW1aiXkZDYwNo6cWxklNjBdqaaXV-D1-NJajSUJSsf-Xz_L52PkK8MLhnA5ioBSC4qYFBB03SV-EDWTIq64rJmH99mKVbkc0oPANBsOvmJrDg0wBnjazLvphl1psHSPgwH6ia8NzR4OmN2xuf0_PeJYs4uL4OhOfzBOCSqg9-XpQsexws6OV9iI3V-j8ntzQVFP1CPeYnlN0RnnTY0LfHexMMZObE4JvPl9T0ldz9_3G5_V9c3v3bb79eVFlLkyrLaAuMgO9MzbSygblvZy24A2xphJfRcS77BtmZ1g7ruG4mDaHFoW90BilPy7dg7x_C4mJTV5JI244jehCWptu5kV8xBIdmR1DGkFI1Vcyz3xINioF48q6NnVWj14lmJkjl_bV_6yQxvif9iC8CPQCorXw5XD2GJRVd6p_Ufhy6K8w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>859490100</pqid></control><display><type>article</type><title>Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lamadé, Wolfram ; Friedrich, Colin ; Ulmer, Christoph ; Basar, Tarkan ; Weiβ, Heinz ; Thon, Klaus-Peter</creator><creatorcontrib>Lamadé, Wolfram ; Friedrich, Colin ; Ulmer, Christoph ; Basar, Tarkan ; Weiβ, Heinz ; Thon, Klaus-Peter</creatorcontrib><description>Purpose
A series of investigations proposed that patients’ preference on minimal invasive and scarless surgery may be influenced by age, sex, and surgical as well as endoscopic history of the individual patient. However, it is unknown which psychological criteria lead to the acceptance of increased personal surgical risk or increased personal expenses in patients demanding scarless operations. We investigated whether individual body image contributes to the patient’s readiness to assume higher risk in favor of potentially increased cosmesis.
Materials and methods
We conducted a nonrandomized survey among 63 consecutive surgical patients after receiving surgery. Individual body image perception was assessed postoperatively applying the FKB-20 questionnaire extended by four additional items. The FKB-20 questionnaire is a validated tool for measuring body image disturbances resulting in a two-dimensional score with negative body image (NBI) and vital body dynamics (VBD) being the two resulting scores. A subgroup analysis was performed according to the conducted operations: conventional open surgery = group 1, traditional laparoscopic surgery = group 2, and no scar surgery = group 3.
Results
There was a significant correlation between a negative body image and the preference for scar sparing and scarless surgery indicated by a significantly increased acceptance of surgical risks and the willingness to spend additional money for receiving scarless surgery (
r
= 0.333;
p
= 0.0227). Allocated to operation subgroups, 17 of 63 patients belonged to group 1 (OS), 29 to group 2 (minimally invasive surgery), and 17 patients to group 3 (no scar). Although age and sex were unequally distributed, the groups were homogenous regarding body mass index and body image (NBI). Subgroup analysis revealed that postoperative desire for scar sparing approaches was most frequently expressed by patients who received no scar operations.
Conclusions
Patients with an NBI tend towards scarless surgery and are willing to accept increased operative risk and to spend additional money for improved postoperative cosmesis.</description><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-010-0669-3</identifier><identifier>PMID: 20602112</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adult ; Age Factors ; Aged ; Body Image ; Cardiac Surgery ; Cross-Sectional Studies ; Esthetics ; General Surgery ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Minimally Invasive Surgical Procedures - psychology ; Natural Orifice Endoscopic Surgery - methods ; Natural Orifice Endoscopic Surgery - psychology ; Original Article ; Postoperative Period ; Risk Factors ; Sex Factors ; Surgical Procedures, Operative - methods ; Surgical Procedures, Operative - psychology ; Surveys and Questionnaires ; Thoracic Surgery ; Traumatic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2011-03, Vol.396 (3), p.331-336</ispartof><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c343t-f15f012049eb1cef0ac884b49d0f8e3f40b2c427a85156ac5b64ad38ad88c90a3</citedby><cites>FETCH-LOGICAL-c343t-f15f012049eb1cef0ac884b49d0f8e3f40b2c427a85156ac5b64ad38ad88c90a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-010-0669-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-010-0669-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20602112$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lamadé, Wolfram</creatorcontrib><creatorcontrib>Friedrich, Colin</creatorcontrib><creatorcontrib>Ulmer, Christoph</creatorcontrib><creatorcontrib>Basar, Tarkan</creatorcontrib><creatorcontrib>Weiβ, Heinz</creatorcontrib><creatorcontrib>Thon, Klaus-Peter</creatorcontrib><title>Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Purpose
A series of investigations proposed that patients’ preference on minimal invasive and scarless surgery may be influenced by age, sex, and surgical as well as endoscopic history of the individual patient. However, it is unknown which psychological criteria lead to the acceptance of increased personal surgical risk or increased personal expenses in patients demanding scarless operations. We investigated whether individual body image contributes to the patient’s readiness to assume higher risk in favor of potentially increased cosmesis.
Materials and methods
We conducted a nonrandomized survey among 63 consecutive surgical patients after receiving surgery. Individual body image perception was assessed postoperatively applying the FKB-20 questionnaire extended by four additional items. The FKB-20 questionnaire is a validated tool for measuring body image disturbances resulting in a two-dimensional score with negative body image (NBI) and vital body dynamics (VBD) being the two resulting scores. A subgroup analysis was performed according to the conducted operations: conventional open surgery = group 1, traditional laparoscopic surgery = group 2, and no scar surgery = group 3.
Results
There was a significant correlation between a negative body image and the preference for scar sparing and scarless surgery indicated by a significantly increased acceptance of surgical risks and the willingness to spend additional money for receiving scarless surgery (
r
= 0.333;
p
= 0.0227). Allocated to operation subgroups, 17 of 63 patients belonged to group 1 (OS), 29 to group 2 (minimally invasive surgery), and 17 patients to group 3 (no scar). Although age and sex were unequally distributed, the groups were homogenous regarding body mass index and body image (NBI). Subgroup analysis revealed that postoperative desire for scar sparing approaches was most frequently expressed by patients who received no scar operations.
Conclusions
Patients with an NBI tend towards scarless surgery and are willing to accept increased operative risk and to spend additional money for improved postoperative cosmesis.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Body Image</subject><subject>Cardiac Surgery</subject><subject>Cross-Sectional Studies</subject><subject>Esthetics</subject><subject>General Surgery</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Minimally Invasive Surgical Procedures - psychology</subject><subject>Natural Orifice Endoscopic Surgery - methods</subject><subject>Natural Orifice Endoscopic Surgery - psychology</subject><subject>Original Article</subject><subject>Postoperative Period</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Surgical Procedures, Operative - methods</subject><subject>Surgical Procedures, Operative - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtO3DAUhq2qqDOFPkA3yLtuCBxfkkmW1aiXkZDYwNo6cWxklNjBdqaaXV-D1-NJajSUJSsf-Xz_L52PkK8MLhnA5ioBSC4qYFBB03SV-EDWTIq64rJmH99mKVbkc0oPANBsOvmJrDg0wBnjazLvphl1psHSPgwH6ia8NzR4OmN2xuf0_PeJYs4uL4OhOfzBOCSqg9-XpQsexws6OV9iI3V-j8ntzQVFP1CPeYnlN0RnnTY0LfHexMMZObE4JvPl9T0ldz9_3G5_V9c3v3bb79eVFlLkyrLaAuMgO9MzbSygblvZy24A2xphJfRcS77BtmZ1g7ruG4mDaHFoW90BilPy7dg7x_C4mJTV5JI244jehCWptu5kV8xBIdmR1DGkFI1Vcyz3xINioF48q6NnVWj14lmJkjl_bV_6yQxvif9iC8CPQCorXw5XD2GJRVd6p_Ufhy6K8w</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Lamadé, Wolfram</creator><creator>Friedrich, Colin</creator><creator>Ulmer, Christoph</creator><creator>Basar, Tarkan</creator><creator>Weiβ, Heinz</creator><creator>Thon, Klaus-Peter</creator><general>Springer-Verlag</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></search><sort><creationdate>20110301</creationdate><title>Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery</title><author>Lamadé, Wolfram ; Friedrich, Colin ; Ulmer, Christoph ; Basar, Tarkan ; Weiβ, Heinz ; Thon, Klaus-Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-f15f012049eb1cef0ac884b49d0f8e3f40b2c427a85156ac5b64ad38ad88c90a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Body Image</topic><topic>Cardiac Surgery</topic><topic>Cross-Sectional Studies</topic><topic>Esthetics</topic><topic>General Surgery</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Minimally Invasive Surgical Procedures - psychology</topic><topic>Natural Orifice Endoscopic Surgery - methods</topic><topic>Natural Orifice Endoscopic Surgery - psychology</topic><topic>Original Article</topic><topic>Postoperative Period</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Surgical Procedures, Operative - methods</topic><topic>Surgical Procedures, Operative - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lamadé, Wolfram</creatorcontrib><creatorcontrib>Friedrich, Colin</creatorcontrib><creatorcontrib>Ulmer, Christoph</creatorcontrib><creatorcontrib>Basar, Tarkan</creatorcontrib><creatorcontrib>Weiβ, Heinz</creatorcontrib><creatorcontrib>Thon, Klaus-Peter</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>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lamadé, Wolfram</au><au>Friedrich, Colin</au><au>Ulmer, Christoph</au><au>Basar, Tarkan</au><au>Weiβ, Heinz</au><au>Thon, Klaus-Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>396</volume><issue>3</issue><spage>331</spage><epage>336</epage><pages>331-336</pages><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>Purpose
A series of investigations proposed that patients’ preference on minimal invasive and scarless surgery may be influenced by age, sex, and surgical as well as endoscopic history of the individual patient. However, it is unknown which psychological criteria lead to the acceptance of increased personal surgical risk or increased personal expenses in patients demanding scarless operations. We investigated whether individual body image contributes to the patient’s readiness to assume higher risk in favor of potentially increased cosmesis.
Materials and methods
We conducted a nonrandomized survey among 63 consecutive surgical patients after receiving surgery. Individual body image perception was assessed postoperatively applying the FKB-20 questionnaire extended by four additional items. The FKB-20 questionnaire is a validated tool for measuring body image disturbances resulting in a two-dimensional score with negative body image (NBI) and vital body dynamics (VBD) being the two resulting scores. A subgroup analysis was performed according to the conducted operations: conventional open surgery = group 1, traditional laparoscopic surgery = group 2, and no scar surgery = group 3.
Results
There was a significant correlation between a negative body image and the preference for scar sparing and scarless surgery indicated by a significantly increased acceptance of surgical risks and the willingness to spend additional money for receiving scarless surgery (
r
= 0.333;
p
= 0.0227). Allocated to operation subgroups, 17 of 63 patients belonged to group 1 (OS), 29 to group 2 (minimally invasive surgery), and 17 patients to group 3 (no scar). Although age and sex were unequally distributed, the groups were homogenous regarding body mass index and body image (NBI). Subgroup analysis revealed that postoperative desire for scar sparing approaches was most frequently expressed by patients who received no scar operations.
Conclusions
Patients with an NBI tend towards scarless surgery and are willing to accept increased operative risk and to spend additional money for improved postoperative cosmesis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20602112</pmid><doi>10.1007/s00423-010-0669-3</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1435-2443 |
| ispartof | Langenbeck's archives of surgery, 2011-03, Vol.396 (3), p.331-336 |
| issn | 1435-2443 1435-2451 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_859490100 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Adult Age Factors Aged Body Image Cardiac Surgery Cross-Sectional Studies Esthetics General Surgery Health Knowledge, Attitudes, Practice Humans Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures - methods Minimally Invasive Surgical Procedures - psychology Natural Orifice Endoscopic Surgery - methods Natural Orifice Endoscopic Surgery - psychology Original Article Postoperative Period Risk Factors Sex Factors Surgical Procedures, Operative - methods Surgical Procedures, Operative - psychology Surveys and Questionnaires Thoracic Surgery Traumatic Surgery Treatment Outcome Vascular Surgery |
| title | Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery |
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