Teamwork in Breast Cancer Surgery: Factors Affecting Success Rate and Increasing Success Rate in the Operating Room

2021 ◽  
pp. 231-244
Author(s):  
Sibel Özkan Gürdal ◽  
Sami Açar ◽  
Nuh Zafer Canturk
2005 ◽  
Vol 94 (3) ◽  
pp. 211-215 ◽  
Author(s):  
T. Meretoja ◽  
E. Suominen

Background and Aims: The aim of this study is to evaluate the demand for plastic operations after primary breast cancer surgery. In addition, this study aims to increase knowledge on factors affecting the wish of women for breast reconstruction. Material and Methods: A questionnaire was sent to some 111 patients who had undergone either mastectomy or breast conserving surgery. The response rate was 76 %. The questionnaire consisted of 20 structured questions. The data was analysed statistically using the t test and the chi-square test. Results: 28 % of the mastectomized patients wanted a breast reconstruction. Factors found to affect the patient's wish for reconstruction were age ( p < 0.001) and whether the patient had received radio- ( p < 0.05) or chemotherapy ( p < 0.05). A difference was found between the mastectomy group and the breast conserving surgery group as to satisfaction in the general ( p < 0.05) and the cosmetic ( p < 0.05) outcome of the surgery, as well as patient's expectations regarding the outcome ( p < 0.01). Conclusions: Rather fewer mastectomized patients wanted a reconstruction. The proportion, however, grew significantly larger in the younger age groups. This study also shows that receiving radio- or chemotherapy seems to predict a woman's choice against a reconstruction. Patients who receive radio- or chemotherapy may consider their illness more severe and life-threatening than those not receiving such treatments.


2017 ◽  
Vol 63 (4) ◽  
pp. 606-613
Author(s):  
Ayrat Khamitov ◽  
Artur Ismagilov ◽  
Zinaida Afanaseva

The article considers the estimation of probability of a lesion of the projection skin flap over tumor for the possibility of displacement of the surgical access into aesthetically acceptable zones during the surgical treatment of nodular breast cancer. The results of examinations of 240 patients (T1-3N0-3M0) were analyzed. It was determined that the risk factors affecting a lesion of the projection skin flap were the presence of the symptom "site" in the patient as well as the topographic and anatomical indicators: tumor less than 3 cm in size, located at a depth of less than 0.8 ± 0.2 cm, tumor more than 3 cm in size, located at a depth of less than 1.5 cm. Based on the data obtained an algorithm for the actions of a practicing oncologist was drawn up for a one-stage reconstruction of the breast from an aesthetically acceptable zone.


2020 ◽  
Vol 9 (3) ◽  
pp. 190-194
Author(s):  
Saeid Charsouei ◽  
Loghman Ghaderi ◽  
Hassan Mohammadipour Anvari ◽  
Reza Eghdam Zamiri

Objectives: Approximately one-third of women having breast surgery experience neuropathic pain although no study has so far identified its risk factors. It seems that the coronavirus infection increases the likelihood of neuropathic pain through influencing the neuropsychological system. Therefore, the current study aimed to investigate factors affecting the severity of neuropathic pain before and after coronavirus disease 19 (COVID-19) in patients who had breast cancer surgery. Materials and Methods: The current descriptive-analytical study was conducted six months before June 4, 2020. In total, 40 women having breast surgery participated in this study. Postoperative neuropathic pain and its influencing factors were evaluated using demographic tools, Spielberger anxiety, and a 36-item short-form health survey for measuring the quality of life (QoL). Finally, data were analyzed by multivariate regression. Results: Neuropathic pain significantly increased during the COVID-19 pandemic. Mastectomy (P=0.009), removal of lymph nodes (P=0.011), number of radiotherapy sessions (P=0.003), history of chemotherapy (P=0.009), disease stage (P=0.015), hidden anxiety (P=0.005), and explicit anxiety (P=0.001), and all domains of QoL (P<0.05) significantly predicted neuropathic pain. Conclusions: In general, adverse effects of coronavirus pandemic reduced the QoL while increasing anxiety (hidden and explicit), thus leading to an increase in the severity of postoperative neuropathic pain.


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