[Long-term results following breast reconstruction]

Area of Science:

• Oncology
• Plastic Surgery
• Psychology

Background:

• Breast reconstruction (BR) is a common procedure following mastectomy.
• Long-term oncologic and cosmetic outcomes of BR require thorough evaluation.
• Understanding patient satisfaction and psychological impact is crucial.

Purpose of the Study:

• To analyze the long-term oncologic and cosmetic results of breast reconstruction.
• To compare oncologic outcomes between patients with and without breast reconstruction.
• To evaluate patient satisfaction and psychological adjustment after breast reconstruction.

Main Methods:

• A 10-year retrospective analysis of 120 breast reconstructions matched with 120 mastectomies without reconstruction.
• Oncologic outcomes assessed by overall survival and disease-free survival.
• Cosmetic results evaluated using photographic scales; psychological impact assessed via a dedicated study of 150 patients.

Main Results:

• No statistical difference in overall survival or disease-free survival between BR and non-BR groups.
• Local recurrence rates were not statistically higher in reconstructed breasts.
• Satisfactory cosmetic results were achieved in 55% of all BR cases, with rectus abdominis flap superior (63%).
• 93% of patients reported satisfaction and willingness to recommend BR, irrespective of objective results.

Conclusions:

• Breast reconstruction is oncologically safe, showing no adverse impact on survival or recurrence.
• The rectus abdominis flap technique yields superior cosmetic outcomes compared to other methods.
• High patient satisfaction and positive psychological adaptation are characteristic of breast reconstruction, underscoring its reconstructive and emotional benefits.