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Patients with abdom...
Patients with abdominal-based free flap breast reconstruction a decade after surgery : A comprehensive long-term follow-up study
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- Liu, Tianyi (författare)
- Uppsala Univ Hosp, Uppsala, Sweden
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- Freijs, Christoffer (författare)
- Uppsala Univ Hosp, Uppsala, Sweden
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- Klein, Holger J. (författare)
- Uppsala Univ Hosp, Uppsala, Sweden; Zurich Univ Hosp, Zurich, Switzerland
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- Feinbaum, Anna (författare)
- Uppsala Univ Hosp, Uppsala, Sweden
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- Svee, Andreas (författare)
- Uppsala universitet,Plastikkirurgi,Uppsala Univ Hosp, Uppsala, Sweden
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- Rodriguez-Lorenzo, Andres (författare)
- Uppsala universitet,Plastikkirurgi,Uppsala Univ Hosp, Uppsala, Sweden
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- Liss, Anders (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Uppsala Univ Hosp, Uppsala, Sweden
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- Acosta, Rafael (författare)
- Deakin Univ, Geelong, Vic, Australia
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- Mani, Maria (författare)
- Uppsala universitet,Plastikkirurgi,Uppsala Univ Hosp, Uppsala, Sweden
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(creator_code:org_t)
- Elsevier BV, 2018
- 2018
- Engelska.
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Ingår i: Journal of Plastic, Reconstructive & Aesthetic Surgery. - : Elsevier BV. - 1748-6815 .- 1878-0539. ; 71:9, s. 1301-1309
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Abdominal-based free flap has increasingly become the gold standard for breast reconstruction, however long-term evidence of the aesthetic outcome and quality of life is lacking. The present study aims to gain an overview of patients with abdominal-based free flap breast reconstructions in a long-term perspective.Methods: Seventy-five patients who received abdominal-based free flap breast reconstructions between 2000-2007 in Uppsala, Sweden were invited back for photographs, 3D imaging and questionnaires. A retrospective chart review was conducted. Patient satisfaction with appearance and quality of life were assessed using the Breast-Q questionnaire. A layman panel and a professional panel rated the aesthetic appearance of the reconstructed breast from photographs and 3D images.Results: Fifty-five patients participated with a mean age of 52 +/- 8 years at the time of reconstruction and a mean follow-up time of 11.4 +/- 1.8 years completed the study. The majority of the patients had received unilateral (85%), delayed reconstructions (73%) with prior radiation (55%). There were 53 patients with DIEP flaps, one with free TRAM flap and one with SIEA flap. Breast-Q scores in the cohort were comparable to normative values of women without breast cancer (p < 0.001). There was a high level of agreement for the aesthetic results of the reconstructions between patient, professionals and layman panels (0.89 ICC, 95% CI: 0.83 - 0.93).Conclusion: Abdominal-based free flap reconstructions were effective in achieving a lasting positive aesthetic result and a high quality of life in patients a decade after surgery. (C) 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Breast reconstruction
- DIEP
- Autologous free tissue transfer
- Breast-Q
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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