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Updated: Mar 26, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Patient's Education Before Mastectomy Influences the Rate of Reconstructive Surgery
R Tarkowski1,2, K Szmigiel3, A Rubin3
1Department of Oncology, Division of Surgical Oncology, Wroclaw Medical University, pl. Hirszfelda 12, 513-413, Wroclaw, Poland. radoslaw.tarkowski@umed.wroc.pl.
Breast reconstruction (BR) information is crucial for mastectomy patients. Providing details before surgery significantly increases interest in BR, especially for younger women, improving their quality of life.
Area of Science:
- Oncology
- Plastic Surgery
- Patient Education
Background:
- Breast reconstruction (BR) is recommended for mastectomy patients but underutilized.
- Patient awareness and decision-making regarding BR require further investigation.
Purpose of the Study:
- To assess patient awareness and interest in breast reconstruction following mastectomy.
- To identify factors influencing the decision to undergo or decline breast reconstruction.
Main Methods:
- A survey of 50 women treated with mastectomy was conducted.
- The survey included 20 questions covering BR awareness, interest, and decision-making factors.
- Statistical analysis (chi-squared test) was used to evaluate influencing factors.
Main Results:
- Only 22.4% of surveyed women underwent BR, while 53.1% were not interested.
- Pre-surgery information and reimbursement details significantly impacted BR interest (p<0.05).
- Younger age (<55 years) was a significant factor favoring BR (p<0.05).
- Primary reasons for refusal included fear of complications, prioritizing recovery, and perceived advanced age.
Conclusions:
- Comprehensive pre-operative information on breast reconstruction is vital for mastectomy patients.
- Addressing patient concerns and providing clear details on benefits and reimbursement can enhance BR uptake.
- Patient education positively influences quality of life throughout and after cancer treatment.
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