Regarding the Necessity of Functional Assessment Including Motor Control Assessment of Post-Mastectomy Patients Qualified for Latissimus Dorsi Breast Reconstruction Procedure—Pilot Study

The purpose of the paper is a functional assessment of post-mastectomy patients who underwent latissimus dorsi breast reconstruction (LDBR), and of healthy women, through an analysis of selected muscle function parameters, including motor control assessment. Twenty participants were included in the study (ten LDBR-procedure individuals and ten healthy controls). The research consisted of a DASH (The Disabilities of the Arm, Shoulder and Hand) questionnaire assessment, shoulder area static assessment, shoulder mobility assessment, latissimus dorsi flexibility assessment and shoulder motor control assessment. LDBR-procedure individuals—when compared to healthy controls—exhibited a decrease in physical aspects of quality of life, shoulder area postural alterations, limitations in shoulder mobility and decrease in shoulder motor control. LDBR procedure may have an influence on limiting shoulder active mobility, as well as on decrease of shoulder motor and postural control. Standard functional assessment diversified on motor control assessment of post-mastectomy patients qualified for the LDBR procedure seems to be necessary.

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Evaluation of quality of life after breast reconstruction using an autologous latissimus dorsi myocutaneous flap

European Journal of Surgical Oncology ◽

10.1016/j.ejso.2010.04.008 ◽

2010 ◽

Vol 36 (6) ◽

pp. 520-527 ◽

Cited By ~ 18

Author(s):

E. De Gournay ◽

F. Bonnetain ◽

H. Tixier ◽

C. Loustalot ◽

S. Dabakuyo ◽

...

Keyword(s):

Quality Of Life ◽

Breast Reconstruction ◽

Latissimus Dorsi ◽

Myocutaneous Flap ◽

Latissimus Dorsi Myocutaneous Flap

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Analysis of patient satisfaction and donor-site morbidity after different types of breast reconstruction

Scandinavian Journal of Surgery ◽

10.1177/1457496913512829 ◽

2014 ◽

Vol 103 (4) ◽

pp. 249-255 ◽

Cited By ~ 6

Author(s):

H. C. Benditte-Klepetko ◽

F. Lutgendorff ◽

T. Kästenbauer ◽

M. Deutinger ◽

C. M. A. M. van der Horst

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Breast Reconstruction ◽

Latissimus Dorsi ◽

Donor Site ◽

Perforator Flap ◽

Donor Site Morbidity ◽

Deep Inferior Epigastric Perforator ◽

Types Of Breast Reconstruction

Background and Aims: Breast reconstruction has been shown to improve quality of life. However, factors involved in long-term patient satisfaction are largely unknown. Our aim was to evaluate patient satisfaction and donor-site morbidity in five types of breast reconstruction. Material and Methods: A prospectively collected database of all breast surgery patients at Hospital Rudolfstiftung, Vienna, Austria, was searched for five types of breast reconstruction (2000–2006): implant, latissimus dorsi-flap, latissimus dorsi-flap with implant, free transverse rectus abdominis musculocutaneous-flap, and deep inferior epigastric perforator-flap. Patients were sent a study-specific questionnaire to assess satisfaction. Short-form 36-item health survey was used to analyze (quality of life), and complication data were retrieved from the database and assessed during a follow-up visit. Results: There were 257 patients identified, of whom, 126 responded to the survey (17 implant, 5 latissimus dorsi + implant, 64 latissimus dorsi, 22 transverse rectus abdominis musculocutaneous, and 18 deep inferior epigastric perforator reconstructions). No statistical differences were found in complication or reoperation rates. Deep inferior epigastric perforator–flap patients were significantly more satisfied compared to patients from the implant group ( p = 0.007). However, there was no significant difference regarding quality of life scores among the groups. After logistic regression analysis, only “impairment on daily life” showed to be independently correlated with patient satisfaction. This contrary to both operation type and complication rate which did not correlate with patient satisfaction. Conclusions: Our results indicate that operation type, complication rate, and revision rate did not independently correlate with patient satisfaction. Therefore, to further improve patient satisfaction, future research should be focused on other pro-operative factors, for example, patient education, expectations, and personality characteristics.

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