Publication details
Immediate breast reconstruction after mastectomy from the patient's point of view.
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| Year of publication | 2022 |
| Type | Conference abstract |
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| Description | The aim of the study was to find out the awareness of women about immediate breast reconstruction (IBR) with mastectomy at one time, which these operations have already undergone. The indication was a proven genetic mutation BRCA 1 and 2 and/or breast cancer. Four sub-objectives were set with hypotheses for two variables. The method of quantitative research of women's awareness using a structured anonymous questionnaire (20 polytomy questions) was chosen. Out of the total number of 84 respondents, 31 women (36.9 %) underwent IBR due to BRCA 1,2 mutations and 53 women (63.1 %) due to breast cancer. The 30-45 year-old age group (39.2 ± 8.4 years) predominated in women with the BRCA mutation, compared with the predominant 46-59 age group in breast cancer (49.6 ± 9.8 years). Results: All respondents learned about the possibility of IBR before treatment (6.0 %) or during treatment planning (94.0 %). They most often learned about it from an oncologist (77.4 % of women). Women get the most information from a plastic surgeon (91.7 %). Only 8.3 % of women received information from their surroundings and from the web. Before the mastectomy, all respondents already knew what IBR meant, as well as about the payment of IBR by the health insurance company. When asked whether there is sufficient information about IBR in the Czech Republic, answer „no“ 61.9 % of women, resp. „I don´t no“ 28.6 % of women. All respondents would choose the IBR option again. 94.0 % of women cited body integrity as a reason. 88.1 % of women knew about the possibility of performing IBR with their own tissues. There was also excellent information about IBR by foreign material (100 %). There were differing views on the harmfulness of the silicone implant. Only 4.8 % of women said „yes“, 73.8 % of answers „no“, resp. 13.1 % „I don´t know“. All respondents had knowledge and information about different sizes and shapes of silicone implants. Opinions and wishes for breast size after reconstruction differed. 79.8 % of women chose the same breast size, 9.5 % wanted bigger and 6.0 % smaller breasts. 93 % of women were informed in advance about possible operational risks. However, there was a fundamental difference in awareness of the fact that postoperative complications in IBR are more common than in delayed reconstructions. Conclusions: Women who have breast cancer or have an increased risk of breast cancer and undergo mastectomy should have a choice nowadays. Whether to accept only wearing an epithesis or undergoing breast replacement surgery. There are few specialized centers with a team of experts in reconstructive breast surgery in the Czech Republic, especially those performing IBR. Research has shown that all patients were well informed about IBR, but the vast majority did just before the surgical procedure was planned. All women wished to maintain body integrity, and if there was a possibility of IBR, they all underwent it. |