Reduction mammaplasty for symptomatic macromastia: which factors influence the post-operative outcome?

被引:7
作者
Radosa, Julia C. [1 ]
Radosa, Marc P. [2 ]
Baum, Sascha [1 ]
Mavrova, Russalina [1 ]
Camara, Oumar [2 ]
机构
[1] Saarland Univ Hosp, Dept Obstet & Gynaecol, D-66421 Homburg, Germany
[2] Jena Univ Hosp, Dept Gynecol & Obstet, D-07743 Jena, Germany
关键词
Macromastia; Reduction mammaplasty; Breast surgery; Plastic surgery; Postoperative outcome; QUALITY-OF-LIFE; BREAST REDUCTION; PATIENT SATISFACTION; INFERIOR PEDICLE; SUCCESS; OBESITY; RELIEF; PAIN;
D O I
10.1007/s00404-012-2620-z
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We evaluated the long-term results and patient's satisfaction in reduction mammaplasties for symptomatic mammary hypertrophy. From 2002 to 2008 a total of 92 women underwent bilateral mammaplasty for a symptomatic macromastia at our department. Three different surgical techniques for reduction mammaplasty were used (Bostwick, Stroembeck, Ribeiro). Patients were re-contacted in 2009 and asked to complete a self-assessment survey in order to asses their satisfaction with the post-operative symptom-relief and the overall outcome. 90.5 % of all patients stated, that they would retrospectively re-opt for a reduction mammaplasty. Preoperative patients' age, BMI and severity of macromasty-related symptoms were found to be factors positively correlated with a high post-interventional satisfaction with the achieved symptom-relief and the overall outcome. No correlation was found between the amount of intra-operatively resected breast tissue and the post-operative patients' assessment. Patients' assessment regarding the achieved post-operative symptom relief was comparable for all three surgical techniques, however the overall outcome rating for both bi-pedicled approaches (Stroembeck and Ribeiro) was higher compared to the mono-pedicled Bostwick technique. Reduction mammaplasty for patients with a mammary hypertrophy and somatic symptoms could offer a causal and effective treatment. The predictive factors for a high patients' satisfaction identified in this study could become a valuable tool in the pre-operative patients counceling and their role should be further evaluated prospectively. The use of bi-pedicled surgical techniques seems to favor a high post-operative patients' assessment.
引用
收藏
页码:715 / 722
页数:8
相关论文
共 50 条
[41]   Incidence and Risk Factors of Post-Operative Depression in Patients Undergoing Transurethral Resection of Prostate for Benign Prostatic Hyperplasia [J].
Zhu, Daofang ;
Gao, Jingjing ;
Dou, Xianming ;
Peng, Dangwei ;
Zhang, Yao ;
Zhang, Xiansheng .
INTERNATIONAL JOURNAL OF GENERAL MEDICINE, 2021, 14 :7961-7969
[42]   The presence and influence of mild depressive symptoms on post-operative pain perception following primary total knee arthroplasty [J].
Alessandro Bistolfi ;
Elisa Bettoni ;
Alessandro Aprato ;
Patrizia Milani ;
Paola Berchialla ;
Eugenio Graziano ;
Giuseppe Massazza ;
Gwo Chin Lee .
Knee Surgery, Sports Traumatology, Arthroscopy, 2017, 25 :2792-2800
[43]   The presence and influence of mild depressive symptoms on post-operative pain perception following primary total knee arthroplasty [J].
Bistolfi, Alessandro ;
Bettoni, Elisa ;
Aprato, Alessandro ;
Milani, Patrizia ;
Berchialla, Paola ;
Graziano, Eugenio ;
Massazza, Giuseppe ;
Lee, Gwo Chin .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2017, 25 (09) :2792-2800
[44]   Carbohydrate Content of Post-operative Diet Influences the Effect of Vertical Sleeve Gastrectomy on Body Weight Reduction in Obese Rats [J].
Bielohuby, Maximilian ;
Stemmer, Kerstin ;
Berger, Jose ;
Ramisch, Juliane ;
Smith, Kathleen ;
Holland, Jenna ;
Parks, Kenneth ;
Pfluger, Paul T. ;
Habegger, Kirk M. ;
Tschoep, Matthias H. ;
Seeley, Randy J. ;
Bidlingmaier, Martin .
OBESITY SURGERY, 2012, 22 (01) :140-151
[45]   Carbohydrate Content of Post-operative Diet Influences the Effect of Vertical Sleeve Gastrectomy on Body Weight Reduction in Obese Rats [J].
Maximilian Bielohuby ;
Kerstin Stemmer ;
José Berger ;
Juliane Ramisch ;
Kathleen Smith ;
Jenna Holland ;
Kenneth Parks ;
Paul T. Pfluger ;
Kirk M. Habegger ;
Matthias H. Tschöp ;
Randy J. Seeley ;
Martin Bidlingmaier .
Obesity Surgery, 2012, 22 :140-151
[46]   Range of motion measurements do not correlate with patient reported outcome measures in the early post-operative period following ankle fracture [J].
Calderon, Christian ;
Oquendo, Yousi A. ;
Van Rysselberghe, Noelle ;
Finlay, Andrea K. ;
Hunt, Anastasia A. ;
San Agustin, Micah J. ;
Gardner, Michael J. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2024, 55 (04)
[47]   Metabolic syndrome after liver transplantation: Short-term prevalence and pre- and post-operative risk factors [J].
Lunati, Maria Elena ;
Grancini, Valeria ;
Agnelli, Francesca ;
Gatti, Stefano ;
Masserini, Benedetta ;
Zimbalatti, Dario ;
Pugliese, Giuseppe ;
Rossi, Giorgio ;
Donato, Maria Francesca ;
Colombo, Massimo ;
Beck-Peccoz, Paolo ;
Orsi, Emanuela .
DIGESTIVE AND LIVER DISEASE, 2013, 45 (10) :833-839
[48]   FACTORS AFFECTING QUALITY OF LIFE AMONG PATIENTS WITH POST-OPERATIVE BREAST CANCER IN ROI-ET PROVINCE, THAILAND [J].
Mamanee, Ekkasit ;
Chapman, Robert S. .
JOURNAL OF HEALTH RESEARCH, 2010, 24 :47-49
[49]   Post-operative patient-related risk factors for chronic pain after total knee replacement: a systematic review [J].
Wylde, Vikki ;
Beswick, Andrew D. ;
Dennis, Jane ;
Gooberman-Hill, Rachael .
BMJ OPEN, 2017, 7 (11)
[50]   Pre-operative expectation predicts 12-month post-operative outcome among patients undergoing primary total hip replacement in European orthopaedic centres [J].
Judge, A. ;
Cooper, C. ;
Arden, N. K. ;
Williams, S. ;
Hobbs, N. ;
Dixon, D. ;
Guenther, K. -P. ;
Dreinhoefer, K. ;
Dieppe, P. A. .
OSTEOARTHRITIS AND CARTILAGE, 2011, 19 (06) :659-667