scholarly journals High Incidence of Axillary Web Syndrome among Breast Cancer Survivors after Breast Reconstruction

Breast Care ◽  
2019 ◽  
Vol 15 (4) ◽  
pp. 366-371
Author(s):  
Hsiu-Chen Huang ◽  
Hui-Hua Liu ◽  
Li-Yun Yin ◽  
Chao-Hui Weng ◽  
Chien-Liang Fang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Odds Ratio ◽  
Breast Cancer Survivors ◽  
Intraoperative Radiotherapy ◽  
Evidence Base ◽  
Immediate Reconstruction ◽  
Axillary Web Syndrome ◽  
Surgical Methods ◽  
Educational Guidance

Objective: The aim of this study was to identify if breast reconstruction is a surgical risk factor for axillary web syndrome (AWS) in breast cancer (BC) patients. Methods: The data of 207 patients who have been diagnosed with unilateral BC and who had mastectomy and lymph node dissection were retrospectively reviewed. Information of their clinical and pathological data, whether they had immediate ­reconstruction and intraoperative radiotherapy, surgical methods, and postoperative complications during the 3 months after their surgery (AWS, lymphedema, seroma, and myofascial adhesion) were collected, and the incidence of AWS was compared between different surgical methods. ­Results: The overall incidence of AWS was 48.8% in 207 patients. Of the 22 patients who received reconstruction, 19 developed AWS, yielding an incidence of 86%. Multivariate logistic regression modeling showed that patients who underwent reconstruction had a significantly higher incidence of AWS (odds ratio, 4.74), as did patients with postoperative complication of myofascial adhesion (odds ratio, 7.07). Conclusions: BC survivors after breast reconstruction are susceptible to AWS, and there is a significant association between myofascial adhesion and AWS. Our results can stimulate further investigation and provide an evidence base for the development of educational guidance for patients who plan to undergo breast reconstruction.

scholarly journals Clinical Study about Latissimus Dorsi Based Breast Reconstruction at a Tertiary Health Centre in Mangalore, India

2021 ◽  
Vol 10 (34) ◽  
pp. 2905-2909
Author(s):  
Gopinathan S
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Clinical Study ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Breast Cancer Survivors ◽  
Health Centre ◽  
Tram Flap ◽  
Immediate Reconstruction ◽  
Health Care Centre

BACKGROUND The most common cancer among urban Indian women is breast cancer. Mastectomy causes loss of body image and negatively impacts the quality of life. Restoration of body image is an important step for breast cancer survivors. Recent reconstruction options are autologous or implant-based reconstruction or combined approach. This present clinical study was done to describe about latissimus dorsi based breast reconstruction (BR) at a tertiary health centre. METHODS This retrospective study was conducted at a tertiary health care centre from Jun 2018 to Dec 2020. Eligible desiring patients’ divided into the small, medium and large breasts and were willing to undergo BR were taken up for surgery. Patients considered as suitable candidates were further assessed for the option of reconstruction by latissimus dorsi (LD) flap, LD flap with an implant. All the patients were fully explained about the procedure. RESULTS The total number of mastectomies were 158 and breast reconstruction was done in 45 patients, with a percentage of 29 %. In our study, majority of the patients (91.1 %) underwent immediate breast reconstruction. Reconstructive methods used in our study were autologous LD flap (64.4 %), LD flap with silicone implant (24.2 %) and pedicled transverse rectus abdominis myocutaneous (TRAM) flap (11.2 %) based on the size of the contralateral breast. The most common type of reconstruction in our study was the LD flap (64.4 %). CONCLUSIONS Immediate reconstruction of mastectomy defects was offered to all interested patients. Autologous or implant-based can be done safely with minimum morbidity. Latissimus dorsi flap-based breast reconstruction is a cost-effective, safe, reliable method at a tertiary health centre. KEY WORDS Breast Reconstruction, Flap, LD Flap, Implant

scholarly journals Survey of Psychosocial Problems Facing Breast Cancer Survivors after Undergoing a Mastectomy and Their Awareness of Breast Reconstruction

2011 ◽  
Vol 14 (Suppl 1) ◽  
pp. S70 ◽  
Author(s):  
Il Yong Chung ◽  
Eunyoung Kang ◽  
Eun Joo Yang ◽  
Jae-Young Lim ◽  
Eun-Kyu Kim ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Psychosocial Problems

Emotional expectations reported by hospitalized women in southeastern Brazil before being submitted to mastectomy with immediate breast reconstruction: A clinical-qualitative study

2017 ◽  
Vol 41 (S1) ◽  
pp. s507-s507
Author(s):  
G.L. Almeida ◽  
R.M.C. Sena ◽  
V.L.P. Alves ◽  
C. Cardoso-Filho ◽  
E.R. Turato
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Immediate Breast Reconstruction ◽  
University Hospital ◽  
Southeastern Brazil ◽  
Immediate Reconstruction ◽  
Female Population ◽  
Competing Interest ◽  
Health Assistant ◽  
The Aesthetic

IntroductionBreast cancer is a type that more affects female population in the world. Surgical indication, present in most cases, is a mutilating procedure and mentally traumatic for majority of women subjected. Thus, immediate breast reconstruction, which is the choice to rebuild the breast during the mastectomy surgery, is an alternative to reduce discomforts associated with loss of the breast, in addition to being associated potentially with improved emotional and psychosocial quality of life.ObjectiveTo discuss, from psychological viewpoint, the emotional expectations about surgical results of a planned mastectomy with immediate breast reconstruction, reported by women with breast cancer treated in a university hospital in Campinas, state of São Paulo.MethodQualitative design, particularized in the clinical-qualitative method, adequate to health assistant settings, using the semi-directed interview with open-ended questions in-depth, fully transcribed and after submitted to content clinical-qualitative analysis. Intentional sample closed by criterion of information theoretical saturation with 12 sequential participants.ResultsAmongst the emergent categories from free-floating readings, we have chosen the following to presentation:.–The desire of healing above expectations of the aesthetic aspects;–The perception of the surgical approach predominantly with aesthetic effects;–The desire of a contra-lateral healthy breast withdrawal, too.ConclusionsFace the proposal of mastectomy with immediate reconstruction, days before the surgery, women reported to be well emotionally organized for the procedure, although in different ways. This occurs probably due to emotional meanings built by many experiences from their psychological histories, as well as from values provided by the socio-cultural environments.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Does Immediate Tissue Expander Placement Increase Immediate Postoperative Complications in Patients with Breast Cancer?

2015 ◽  
Vol 81 (2) ◽  
pp. 143-149
Author(s):  
Hossein Masoomi ◽  
Keyianoosh Z. Paydar ◽  
Gregory R. D. Evans ◽  
Emily Tan ◽  
Karen T. Lane ◽  
...  
Keyword(s):  
Breast Cancer ◽  
United States ◽  
Hospital Mortality ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Tissue Expander ◽  
The United States ◽  
Immediate Breast Reconstruction ◽  
Perioperative Outcomes ◽  
Immediate Reconstruction

The objectives of this study were to evaluate 1) the rate of immediate breast reconstruction; 2) the frequency of immediate tissue expander placement; and 3) to compare perioperative outcomes in patients who underwent breast reconstruction after mastectomy for breast cancer with immediate tissue expander placement (TE) with those with no reconstruction (NR). Using the Nationwide Inpatient Sample database, we examined the clinical data of patients with breast cancer who underwent mastectomy with or without immediate TE from 2006 to 2010 in the United States. A total of 344,253 patients with breast cancer underwent mastectomy in this period in the United States. Of these patients, 31 per cent had immediate breast reconstruction. We only included patients with mastectomy and no reconstruction (NR: 237,825 patients) and patients who underwent only TE placement with no other reconstruction combination (TE: 61,178 patients) to this study. Patients in the TE group had a lower overall postoperative complication rate (2.6 vs 5.5%; P < 0.01) and lower in-hospital mortality rate (0.01 vs 0.09%; P < 0.01) compared with the NR group. Fifty-three per cent of patients in the NR group were discharged the day of surgery compared with 36 per cent of patients in the TE group. Using multivariate regression analyses and adjusting patient characteristics and comorbidities, patients in the TE group had a significantly lower overall complication rate (adjusted odds ratio [AOR], 0.6) and lower in-hospital mortality (AOR, 0.2) compared with the NR group. The rate of immediate reconstruction is 31 per cent. TE alone is the most common type of immediate reconstruction (57%). There is a lower complication rate for the patients who underwent immediate TE versus the no-reconstruction cohort.

Abstract P2-14-02: Complications of breast reconstruction in a provincial population of breast cancer survivors

2015 ◽  
Author(s):  
Elaine S Wai ◽  
Ling Hong Lu ◽  
Cheryl Alexander ◽  
Mary L Lesperance ◽  
Mary L McBride ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Survivors ◽  
Breast Cancer Survivors

The evidence base in support of breast cancer surveillance guidelines: Flying without a net?

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 25-25
Author(s):  
Shrujal S. Baxi ◽  
Rubaya Yeahia ◽  
Deborah Korenstein
Keyword(s):  
Breast Cancer ◽  
Breast Cancer Survivors ◽  
Primary Care Providers ◽  
Evidence Base ◽  
Cancer Surveillance ◽  
Primary Study ◽  
Supporting Evidence ◽  
Care Providers ◽  
Cancer Knowledge ◽  
The Uk

25 Background: There are a growing number of breast cancer survivors, and they are often followed by primary care providers (PCP). With limited specialized cancer knowledge, PCPs may rely on guidelines (GL), but surveillance recommendations vary based on source. The data informing post-treatment surveillance is limited. We reviewed the evidence in support of varying breast cancer surveillance recommendations found in national GLs. Methods: We included breast cancer GLs containing surveillance recommendations from professional societies and government organizations in North America, the UK, and Europe (2010-5). We used online search engines and organization websites to identify GLs. Surveillance testing recommendations were recorded; relevant citations for each recommendation were identified and classified by evidence type. Results: We identified 6 breast cancer GLs from US, UK, and Europe; all recommended mammography. Other recommendations varied, with contradictory recommendations regarding MRI and US. Overall, 13 systematic reviews (SR) were cited; 9 related to mammography. One SR of MRI and one of mammography were cited by 2 GLs; remaining SRs were each cited by 1 GL. Other references included 34 primary studies, 9 narrative reviews and 11 older GLs. Among 23 surveillance testing recommendations from the 6 GLs, the highest level of supporting evidence was a SR in 44% and a primary study in 22%; the remainder cited no direct evidence. At times, the same citation supported contradictory recommendations in different guidelines. Conclusions: Evidence for surveillance recommendations is often low-level and cited references vary across GLs; the same evidence is used to support contradictory recommendations. Better evidence and its more consistent application would facilitate high quality breast cancer survivorship care.

scholarly journals Improving preparedness prior to reconstructive breast surgery via inclusion of 3D images during pre-operative counselling: a qualitative analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alan D. McCrorie ◽  
Aislinn M. Begley ◽  
Jingwen J. Chen ◽  
Noleen K. McCorry ◽  
Glenda Paget ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Decision Aids ◽  
Three Dimensional ◽  
Surgical Reconstruction ◽  
Aesthetic Outcome ◽  
Structured Interviews ◽  
Immediate Reconstruction ◽  
Three Dimensional Images ◽  
Future Work

Abstract Background A proportion of women undergoing mastectomy for breast cancer choose to undergo breast reconstruction. Evidence suggests that women’s preparedness for this surgery is low and that this may contribute to feelings of unmatched expectations and anxiety. There is substantial interest in decision-aids to remedy this. This study explores the incorporation of digitally rendered three-dimensional images into pre-operative counselling sessions as a means of enhancing patient preparedness. Methods A database of three-dimensional images was produced showing both optimal and sub-optimal aesthetic outcome, matched to participant on the basis of type of surgical reconstruction, body habitus, and skin tone. Women undergoing mastectomy for breast cancer followed by immediate reconstruction were targeted for inclusion. Participants interacted with image software during pre-operative counselling sessions by viewing, rotating, and zooming in/out to gain a more in-depth appreciation of post-operative aesthetic outcome. Semi-structured face-to-face interviews followed thereafter. Interviews were audio-recorded, transcribed, coded, and themes identified. Results Eight semi-structured interviews took place. The major emergent theme was ‘increased preparedness’ with subthemes including ‘expectation management’, ‘software interaction’, and ‘enhanced realism’. There were no prohibitively negative emotions after interacting with images. Women reported gaining ‘more of a perspective’ and feeling ‘more informed’ after viewing images. They also valued the enhanced interactivity and better appreciation of reconstructed breast symmetry that viewing three-dimensional images offered when compared to viewing two-dimensional photographs. Finally, women also commented that three-dimensional images were more realistic. Conclusions Results suggest that incorporation of three-dimensional images into pre-operative counselling sessions prior to breast reconstruction, is a fairly simple yet effective method of enhancing patient preparedness prior to surgery. Women particularly valued the ability to use the software to generate a more realistic idea of what to expect after their operation. Future work should focus on better understanding any quantifiable benefit from incorporating three-dimensional images routinely into pre-operative decision-making.

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