| Abdominal morbidity following TRAM flap breast reconstruction--patient-reported outcome measures | |
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MedLine Citation:
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PMID: 19711254 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE/BACKGROUND: Excellent aesthetic outcomes have been demonstrated with TRAM flap breast reconstruction. However, abdominal wall morbidity after TRAM flap breast reconstruction has not been accurately evaluated in terms of patient symptoms or patient quality of life. To further examine this issue, we performed a cross-sectional survey of TRAM flap breast reconstruction patients utilising questions from a patient-related outcome measure questionnaire. PATIENTS AND METHOD: The questions were posed to post-mastectomy breast reconstruction patients. Items pertaining to abdominal wall symptoms and satisfaction with the outcome were reported on a 5-point Linkert Scale (1=very satisfied/no symptoms to 5=very dissatisfied/frequent symptoms). RESULTS: The study population consisted of 270 patients who underwent pedicled (n=183) or free (n=87) TRAM flap procedures. The frequency of abdominal wall symptoms reported on abdomen-specific questionnaire items was increased in the pedicled TRAM group relative to the free TRAM group. This included "tightness or pulling in abdomen" (2.34 vs. 2.01); "abdominal pain, bloating, or discomfort" (2.11 vs. 1.69); "difficulty doing everyday activities requiring the use of your abdominal muscles" (2.11 vs. 1.67); and "abdominal weakness" (2.36 vs. 1.8). CONCLUSION: We found a relatively low frequency of abdominal symptoms in the TRAM flap patients as a whole. However, there was a tendency towards increased abdominal symptoms in the pedicled TRAM patients compared to the free TRAM patients. As the population sizes in this study are somewhat limited, future studies with increased patient numbers may find greater differences between pedicled and free TRAM patients. In addition, studies evaluating the patients' abdominal wall symptoms pre- and postoperatively may allow for a detailed analysis of abdominal wall morbidity in post-mastectomy TRAM patients. |
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Authors:
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N Kropf; P Reavey; C M McCarthy; P G Cordeiro; A L Pusic |
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Publication Detail:
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Type: English Abstract; Journal Article Date: 2009-08-26 |
Journal Detail:
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Title: Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft f?r Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft f?r Mikrochirurgie der Peripheren Nerven und Gef?sse : Organ der Vereinigung der Deutschen Plastischen Chirurgen Volume: 41 ISSN: 1439-3980 ISO Abbreviation: Handchir Mikrochir Plast Chir Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-21 Completed Date: 2010-03-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8302815 Medline TA: Handchir Mikrochir Plast Chir Country: Germany |
Other Details:
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Languages: ger Pagination: 374-7 Citation Subset: IM |
Affiliation:
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Memorial Sloan-Kettering Cancer Center, Division of Plastic and Reconstructive Surgery Service, New York 10065, USA. nina.kropf@gmail.com |
Vernacular Title:
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Die subjektive Wahrnehmung abdomineller Symptome nach Brustrekonstruktion mit gestielter und freier TRAM Lappenplastik. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Wall
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surgery Adult Age Factors Esthetics* Female Follow-Up Studies Humans Mammaplasty / methods* Mastectomy Middle Aged Patient Satisfaction* Postoperative Complications / etiology* Quality of Life Questionnaires Surgical Flaps* Tissue and Organ Harvesting* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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