Postmastectomy reconstruction: comparative analysis of the psychosocial, functional, and cosmetic effects of transverse rectus abdominis musculocutaneous flap versus breast implant reconstruction.

摘要: Over 40,000 postmastectomy breast reconstructions are performed annually. In this study, we investigated the psychosocial, functional, and cosmetic effects of transverse rectus abdominis musculocutaneous (TRAM) flap versus implant reconstruction. Thirty-three women who had undergone reconstruction were contacted by telephone agreed to participate in study. Twenty-two completed self-assessment questionnaires regarding their quality life, psychological symptoms, functional status, body image, global satisfaction. The TRAM groups contained 8 14 patients, respectively. well matched for age, employment marital race, religion, severity medical surgical illnesses. average follow-up was 36 months. Statistical analysis responses revealed that more satisfied with how reconstructed felt touch (p = .01), there a trend toward greater satisfaction appearance .08). However, these same patients identified difficulties as far functioning at work or school, performing vigorous physical activities, participating community religious visiting relatives, interacting male friends < .04). There no statistically significant differences image overall small cohort both group results reconstruction, but tended be result. reported psychological, social, impairments result