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Quality of life in patients undergoing transverse rectus abdominis myocutaneous flap breast reconstruction

João Carlos Rondelo; Marcello Di Martino; Tommy Mermerian; Daniela Francescato Veiga; Luiz Eduardo Felipe Abla; Luiz Henrique Gebrin; Lydia Masako Ferreira
Rev. Bras. Cir. Plást. 2014;29(1):79-83 - Original Article

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ABSTRACT

INTRODUCTION: Breast reconstruction is intended to improve the quality of life of patients who underwent mastectomy, and the use of the Transverse Rectus Abdominis Myocutaneous (TRAM) flap is a valuable option. OBJECTIVE: To assess the influence of delayed TRAM flap breast reconstruction on patient's quality of life. METHODS: 30 breast cancer patients who had undergone mastectomy were enrolled in this cross-sectional study. Fifty of them (Study Group - SG) had undergone delayed TRAM flap breast reconstruction six months before, and the other 15 (Control Group) were scheduled for the operation. To assess quality of life, the Brazilian version of the Medical Outcomes Study 36-item Short-form Health Survey (SF-36) was used. Data were statistically compared. RESULTS: Compared to CG, patients in SG had better quality of life scores for the SF-36 domains social aspect (p<0.001), mental health (p=0.002) and general health (p=0.008). No statistical significances were reached for the other SF-36 domains. CONCLUSION: The delayed TRAM flap breast reconstruction had a positive influence on patient's quality of life.

Keywords: Quality of Life; Surgical Flap; Mastectomy.

 

RESUMO

INTRODUÇÃO: A reconstrução de mama visa melhorar a qualidade de vida das pacientes que se submeteram à mastectomia, e o uso do retalho miocutâneo transverso do abdome (TRAM) é uma opção valiosa. OBJETIVO: Avaliar a influência da reconstrução mamária tardia com o retalho TRAM na qualidade de vida das pacientes. MÉTODO: 30 pacientes com câncer de mama, mastectomizadas foram incluídas neste estudo transversal. 15 delas (Grupo Estudo - GE) foram submetidas à reconstrução mamária com retalho TRAM seis meses antes, e as outras 15 (Grupo Controle - GC) foram programadas para a operação. Para avaliar a qualidade de vida, foi utilizado a versão brasileira do Medical Outcomes Study 36-item Short-form Health SurveyQuestionnaire (SF-36). Os dados foram comparados estatisticamente. RESULTADOS: Em comparação com o GC, as pacientes do GE apresentaram melhores escores do SF-36 nos domínios: aspecto social (p<0.001), saúde mental (p=0.002) e estado geral de saúde (p=0.008). Nenhuma significância estatística foi alcançada para os outros domínios do SF-36. CONCLUSÃO: A reconstrução mamária tardia com retalho TRAM tem influência positiva na qualidade de vida das pacientes.

Palavras-chave: Qualidade de Vida; Retalhos Cirúrgicos; Mastectomia.

 

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