Scholarlink

Background <p>In order to achieve a symmetrical result during unilateral breast reconstruction, a procedure on the contralateral breast is often necessary, the performance of which ultimately depends on the patient's decision. The aim of this study is to identify the factors that may influence this decision in patients during second-stage breast reconstruction with implants.</p> Methods <p>Women with breast cancer diagnosis who underwent unilateral second-stage breast reconstruction with implant placement between 2012 and 2022 in our hospital were included.</p> Results <p>Five hundred thirty-three patients underwent unilateral second-stage implant-based breast reconstruction in the study period. Simultaneous symmetrization of the contralateral breast was performed in 406 (76.17%) patients. Age and premium health insurance were associated with patients undergoing contralateral breast symmetrization with statistical significance. In addition, younger patients underwent symmetrization by augmentation mastoplasty with a statistically significant association. On the other hand, within the same group of patients, we found a statistically significant association between body mass index (BMI) and the type of symmetrization performed. Among the patients who underwent contralateral breast symmetrization, the majority (43.52%) answered that the main reason for doing so was that they wanted to “feel more balanced”.</p> Conclusions <p>The decision to perform contralateral breast symmetrization during second-stage breast reconstruction is associated with demographic and economic factors such as patient age and insurance coverage of surgery costs. In addition, patient age and weight influence the choice of the most appropriate symmetrization procedure.</p> Level of Evidence III <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors&#xa0;<a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Implications of Individual, Demographic and Economic Factors on Symmetrization Decision Making During Two-Stage Implant Breast Reconstruction

  • 期刊论文

  • 发表日期：

    2025年10月6日

查看全文
  • José F. Viñas,
  • Tatiana Ruffa,
  • Alejandro Coloccini,
  • Breyner J. García Rodríguez,
  • Horacio F. Mayer

摘要

Background

In order to achieve a symmetrical result during unilateral breast reconstruction, a procedure on the contralateral breast is often necessary, the performance of which ultimately depends on the patient's decision. The aim of this study is to identify the factors that may influence this decision in patients during second-stage breast reconstruction with implants.

Methods

Women with breast cancer diagnosis who underwent unilateral second-stage breast reconstruction with implant placement between 2012 and 2022 in our hospital were included.

Results

Five hundred thirty-three patients underwent unilateral second-stage implant-based breast reconstruction in the study period. Simultaneous symmetrization of the contralateral breast was performed in 406 (76.17%) patients. Age and premium health insurance were associated with patients undergoing contralateral breast symmetrization with statistical significance. In addition, younger patients underwent symmetrization by augmentation mastoplasty with a statistically significant association. On the other hand, within the same group of patients, we found a statistically significant association between body mass index (BMI) and the type of symmetrization performed. Among the patients who underwent contralateral breast symmetrization, the majority (43.52%) answered that the main reason for doing so was that they wanted to “feel more balanced”.

Conclusions

The decision to perform contralateral breast symmetrization during second-stage breast reconstruction is associated with demographic and economic factors such as patient age and insurance coverage of surgery costs. In addition, patient age and weight influence the choice of the most appropriate symmetrization procedure.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.