Prospective Analysis of Psycho Social and Surgical Outcome of Breast Reconstruction Following Mastectomy
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Breast reconstruction (BR) plays a significant role in the woman’s physical, emotional and psychological recovery from breast cancer. The presence of a woman with a lack of her breast leads to psychological disorders that can be noticeable. The aim of the study was to determine the outcome of Breast Reconstruction in patients who have undergone mastectomy and to analyze its psycho-social impact and surgical outcome using suitable questionnaire. Material and methods: The present study was conducted among 31 patients of breast carcinoma who underwent Mastectomy and Breast Reconstruction procedures using Lattisimus Dorsi Myocutaneous flaps and Transverse Rectus Abdominis Myocutaneous flaps. All participants were evaluated by the Medical Outcomes Study (MOS) 36-item Short Form Health Status Survey (SF-36, 36 items) and a study-specific questionnaire 6 months after they received the adjuvant therapy. Statistical Analysis was performed using Epi Info (TM) 3.5.3. t-test was used to compare the means. Percentage (%) was calculated of different factors. Results: In this study, 17(54.8%) patients underwent reconstruction using LD flap and 14(45.2%) patients using TRAM flap.As per the survey used in the study, the present study found that here was a decline in all the parameters namely physical role, physical functioning, bodily pain, physical component score, vitality, mental health, social functioning, emotional role, mental component score except general health score, which were all of significant (p < 0.05). Conclusion: Steps need to be taken in terms of patient awareness with respect to breast cancer, the treatments available and adequate counselling and time to time physical and psychological support to improve the patient satisfaction and assessment of self, post treatment.
Authors and Affiliations
Sudip Sarkar, Shine N Singh, Biswanath Acharyya, Lydia Prusty
Keywords
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