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Corresponding Author

Basheer Adel Mohammed Mohammed

Abstract

Background: Breast reconstruction (BR) has long been acknowledged as a way to improve quality of life, enhance body image, and aid in the healing process after the psychological and emotional trauma of a mastectomy.

Objective: Assessment of the short-term oncologic and cosmetic results in breast cancer patients undergoing skin-sparing mastectomy and rapid implant reconstruction.

Patients and Methods: A comprehensive pre- and postoperative workup was performed on a total of 20 women who were candidates for skin-sparing mastectomy due to early-stage breast cancer, including patients whose cancer could be treated with a modified radical mastectomy. The interdisciplinary team discussed each patient to ensure that every possible course of treatment was considered for each individual. Metastatic workups, postoperative cosmetic results, and routine follow-ups were carried out.

Results: The mean ± SD of psychosocial wellbeing according to breast Q satisfaction was 78.52±16.53; postoperative breast satisfaction was achieved in 69.75±18.04; postoperative implant satisfaction was achieved in 67.75±10.41; physical wellbeing in the chest was reported in 73.68±16.23; and sexual wellbeing was reported in 69.05±13.91.

Conclusion: An appropriate and secure course of treatment is a skin-sparing mastectomy combined with rapid subcutaneous implant reconstruction. Finding suitable patients and skin flap viability is essential to this strategy and getting the best results.

Article Type

Original Article

Keywords

Skin Sparing Mastectomy; Direct-to-Implant; Oncologic safety

Subject Area

Onco-surgery

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