Evaluations of the aesthetic results and patient satisfaction with the late pedicled TRAM flap breast reconstruction

Evaluations of the aesthetic results and patient satisfaction with the late pedicled TRAM flap breast reconstruction

Author Veiga, D. F. Google Scholar
Neto, M. S. Google Scholar
Garcia, E. B. Google Scholar
Veiga, J. Google Scholar
Juliano, Y. Google Scholar
Ferreira, L. M. Google Scholar
Rocha, JLBS Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Pouso Alegre
Abstract With the goal of evaluating the aesthetic results, testing the reliability of the rating systems used, and determining the patients' level of satisfaction with their breast reconstruction, pedicled transverse rectus abdominis musculocutaneous flap reconstruction was performed in 20 patients who had undergone mastectomy. the results were evaluated and compared 3, 6, and 12 months after reconstruction using the patients' own assessments (a rating of 0-10 points) and scoring by two senior plastic surgeons (using 0-10-point global rating scales as well as the five subscales of the modified Garbay system). the interrater and intrarater agreement was poor to fair for the majority of the subscales. When evaluating by grades, there was significant difference (p < 0.001) between the patients and the raters at postoperative months 3 and 6. At month 12, one of the raters attributed significantly lower grades (p < 0.001) than the patients and the other rater. the authors observed a higher level of satisfaction by the patients than by the raters.
Language English
Date 2002-05-01
Published in Annals of Plastic Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 48, n. 5, p. 515-520, 2002.
ISSN 0148-7043 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 515-520
Origin http://dx.doi.org/10.1097/00000637-200205000-00012
Access rights Closed access
Type Article
Web of Science ID WOS:000175644400014
URI http://repositorio.unifesp.br/handle/11600/26862

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