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Eur J Surg Oncol. 2000 Mar;26(2):137-41.

Subcutaneous mastectomy with implant reconstruction: cosmetic outcome and patient satisfaction.

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1
Breast Unit, Nottingham City Hospital, UK.

Abstract

AIMS:

To assess the cosmetic outcome and satisfaction of patients who have undergone subcutaneous mastectomy (SCM) with silicon implant reconstruction and to investigate the factors influencing cosmesis.

METHODS:

A total of 101 patients who had had SCM implant reconstruction for treatment of primary breast cancer were assessed for cosmesis by a panel using photographic assessment. Satisfaction and sexuality were studied by a self-evaluation questionnaire.

RESULTS:

A good to excellent cosmetic result was achieved in 71 (70. 3%) patients (and in 85% of the group who had immediate insertion of the implant). Eighty-one patients (81%) were moderately or very satisfied (96% of the immediate reconstruction group were so). Factors found to influence cosmesis positively were submuscular insertion of the implant (P<0.001), the lateral incision approach (P<0.001) and immediate reconstruction (P<0.001).

CONCLUSION:

The findings of this study support the use of SCM with implant reconstruction as the simplest option in those advised to undergo mastectomy and who wish for reconstruction.

PMID:
10744930
DOI:
10.1053/ejso.1999.0756
[Indexed for MEDLINE]
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