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Defining the Ideal Breast Reconstruction Procedure After Mastectomy From the Patient Perspective: A Retrospective
Ilias G Petrou1, Céline Thomet1, Omid Jamei1
1Division of Plastic, Reconstructive and Esthetic Surgery, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Breast Cancer : Basic and Clinical Research
|April 25, 2022
Summary
Deep Inferior Epigastric Perforator (DIEP) flap reconstruction offers superior patient satisfaction and aesthetic outcomes compared to implant-based reconstruction and latissimus dorsi flaps. DIEP is recommended as a primary choice for breast reconstruction.
Area of Science:
- Oncology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Breast reconstruction is common for cancer patients.
- Patient satisfaction with various reconstruction methods is not well-defined.
- Comparing common techniques is crucial for optimal patient outcomes.
Purpose of the Study:
- To compare patient satisfaction and objective outcomes of three common breast reconstruction techniques.
- To identify the most satisfactory breast reconstruction method for patients.
Main Methods:
- Retrospective study of 184 breast cancer patients (1993-2011).
- Evaluated implant-based reconstruction (IBR), latissimus dorsi (LD) flap, and DIEP flap.
- Assessed patient satisfaction via questionnaire and objective outcomes (sensitivity, aesthetics, symmetry).
Main Results:
- DIEP reconstruction scored highest in aesthetic outcomes, immediate reconstruction impact, and overall satisfaction.
- IBR showed best somatosensory results; DIEP outperformed LD.
- DIEP and IBR had no significant aesthetic differences; DIEP scored higher than LD for size and symmetry.
Conclusions:
- All methods yielded good results, with LD scoring lower.
- DIEP reconstruction is the most satisfactory and best-experienced method for patients.
- DIEP flap reconstruction should be considered the principal choice for breast reconstruction.
