#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Bilateral breast reconstruction with two DIEP flaps: How the patients evaluate it?


Authors: L. Dražan;  P. Hýža;  I. Stupka;  I. Justan;  J. Veselý;  Z. Dvořák
Authors‘ workplace: Klinika plastické a estetické chirurgie, Fakultní nemocnice u sv. Anny, Brno ;  Přednosta: prof. MUDr. J. Veselý, CSc. ;  Lékařská fakulta Masarykovy Univerzity, Brno
Published in: Prakt. Lék. 2009; 89(6): 306-311
Category: Of different specialties

Overview

Background:
Patients with hereditary risk have an up to 85 % probability of developing breast cancer before the age of 70. Bilateral mastectomy significantly decreases the risk of developing the disease but is considered too drastic a measure for most patients. For some patients, mastectomy followed by immediate reconstruction can be a solution in difficult oncological situations. From the point of long-term results, reconstruction with living tissue from the abdomen with perforator flaps seems to be most advantageous.

Aim:
This study aims to find out, using a questionnaire, how patients perceive and evaluate the results of a bilateral mastectomy followed by two abdominal perforator flaps from abdomen breast reconstruction.

Method and results:
A total of 55 patients underwent bilateral breast reconstruction with abdominal perforator flaps (DIEP) during the years 2002–2006. A questionnaire relating to the influence of mastectomy and reconstruction on the quality of life and aesthetic evaluation was sent to patients. 98.2 % of the patients returned the questionnaire. The majority of patients (88 %) evaluated the aesthetic results as good or excellent and 54 patients (96 %) would undergo this procedure again and they would also recommend it to other women.

Conclusion:
Bilateral DIEP breast reconstruction is well accepted and aesthetic results positively appreciated by patients who have undergone this operation. There is high satisfaction even in the group of unaffected women-carriers BRCA 1, 2 mutation. The results of this study support the idea, that bilateral prophylactic mastectomy followed by immediate DIEP reconstruction can also serve as primary surgical breast carcinoma prevention in our country.

Keywords:
prophylactic mastectomy, bilateral DIEP flaps breast reconstruction, BRCA 1, 2.


Sources

1. Blondeel, N., Vanderstraeten, G.G., Monstrey, S.J., et al. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction. Br. J. Plast. Surg. 1997, 50, p. 322-330.

2. Kroll, S.S., Sharma, S., Koutz, C., et al. Postoperative morphine requirements of free TRAM and DIEP flaps. Plast. Reconstr. Surg. 2001, 107, p. 338-341.

3. Blondeel, P.N., Boeck, W.D. Refinements in free flap breast reconstruction: the free bilateral deep inferior epigastric perforator flap anastomosed to the internal mammary artery. Br. J. Plast. Surg. 1994, 47, p. 495-501.

4. Guerra, A.B., Metzinger, S.E., Bidros, R.S., et al. Bilateral breast reconstruction with the deep inferior epigastric perforator (DIEP) flap: an experience with 280 flaps. Ann. Plast. Surg. 2004, 52, p. 246-252.

5. Hamdi, M., Blondeel, P., Val Landuyt, K. et al. Bilateral autogenous breast reconstruction using perforator free flaps: a single center’s experience. Plast. Reconstr. Surg. 2004, 114, p. 83-89.

6. Dražan, L., Veselý, J., Hýža, P., et al. Bilateral breast reconstruction with DIEP flaps: 4 years´ experience. JPRAS. 2008, 61, p. 1309-1315.

7. Zimovjanová, M. Genetické poradenství v onkologii. Eva 35 info. 2006, 1, 1, s. 10-11.

Labels
General practitioner for children and adolescents General practitioner for adults
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#