Rotation of breast prostheses and quality of life of patients after augmentation mammoplasty
Journal Title: Серце і судини - Year 2018, Vol 0, Issue 2
Abstract
The aim — to evaluate the quality of life (QL) of patients after the primary submuscular augmentative mammoplasty (SAM) during one year depending on the presence and degree of rotation of the mammary prosthesis (RMP). Materials and methods. The work was carried out in the Department of Surgery No. 4. The study included 170 women whose QL was evaluated before and one year after SAM using the international questionnaire MOSSF36. Patients were divided into two groups: comparison group — 94 women who underwent SAM performed by traditional method, basic group — 76 women who underwent SAM performed by technique for strengthening of the upper pole of submuscular neopouch. The reference values of QL were obtained from 30 women. Patients in the study group were not statistically different in age, body mass index (BMI), weight of prostheses, percentage of pregnant and breastfeeding patients. The final point of the study was QL one year after the SAM by the international questionnaire MOSSF36; the intermediate point of the study was the frequency of RMP one year after the SAM. Results and discussion. Indexes of QL before the operation in women of both groups did not differ statistically and were close to the reference values. One year after the SAM 143 (76.1 %) prostheses rotated in the comparison group, 46 (30.3 %) — in the main group (p = 0.001). There were also differences in the degree of RMP (p = 0.001) due to the absence of clinically significant RMP in the main group (90° or more) compared with 13 (13.8 %) cases of RMP in the comparison group (p = 0.001). A year after the operation in the study groups, an increase in the mean values of all indicators of QL was noted. Indicators of QL in main group were significantly better than in the comparison group, except for the indicator of physical functioning. Differences between the groups were caused by the presence in the comparison group of women with clinically significant RMP. Thus, in women with clinically significant RMP, all of the QL values were significantly lower than in women without clinically significant RMP (all p < 0.01). Conclusions. Clinically significant RMP considerably impairs the patients’ QL one year after the SAM. Such patients have significantly lower psychic and physical health components compared to patients without RMP. SAM in the remote period provides improvement of patients’ QL in case of the absence of clinically significant RMP. The developed method of RMP prophylaxis after SAM is associated with significantly better indicators of QL compared to the classical technique according to all scales of the mental component of health and two scales of the physical component of health.
Authors and Affiliations
V. G. Mishalov, O. I. Zakhartseva, V. V. Khrapach, L. Yu. Markulan
Keywords
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- EP ID EP332333
- DOI 10.30978/HV2018254
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