Skin Sparing Mastectomy and Direct-to-Implant: Oncologic and Aesthetic Outcomes | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 7, July 2024 | ||||
| DOI: 10.58675/2682-339X.2489 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Basheer Mohammed; Saeed Bendary; Mohammed Ahmed; Mohamed Abdelrahman | ||||
| Surgical Oncology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| 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. | ||||
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