Breast Cancer, Breast-Q, Breast Tumor, Oncoplasty, Perforator Flap
Conditions
Keywords
Local Perforator Flaps, Breast Cancer, Oncoplastic Breast Conserving Surgery, BREAST-Q, Breast Surgery
Brief summary
This is a single center experience of using local perforator flaps in partial breast reconstruction for breast tumors while evaluating cosmetic outcomes, patient satisfaction and well-being using a validated self-administered questionnaire.
Detailed description
Background & Objectives: Various oncoplastic techniques have emerged over the years to preserve breast cosmesis and symmetry without compromising the principles of tumor excision. One of the newer techniques for breast volume replacement to achieve symmetry and cosmesis is the use of fasciocutaneous pedicled chest wall perforator flaps or local perforator flaps (LPF). The objectives of this study are to document the details of the surgical procedure as well as patient-reported satisfaction and well-being following the already performed surgical procedure using a validated BREAST-Q tool among Pakistani women. Materials & Methods: This prospective cross-sectional study will be conducted by enrolling all the 25 female patients who have undergone LPF for breast tumors at The Aga Khan University Hospital, Karachi. Data related to the procedure will be collected on a pre-designed proforma. Cosmetic outcomes and patient satisfaction will be evaluated using 2 scales from BREAST-Q BCT domain version 2.0. The questionnaire will be self-administered by the patients during their routine follow-up in the clinic. Data will be analyzed using the Statistical Package for Social Sciences (SPSS) version 23. Mean (SD) / median (IQR) will be computed for quantitative variables and frequency and percentages will be calculated for qualitative variables. 2 sample t-test will be applied. P-value ≤0.05 will be considered significant.
Interventions
OTHERNo intervention was undertaken
This was an observational study, no intervention was done.
Sponsors
Aga Khan University
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* All female patients suitable for breast conservation who underwent a pedicled fasciocutaneous perforator flap for immediate partial breast reconstruction at the breast surgery section
Exclusion criteria
* For evaluation of surgical techniques, since this was a review of cases already operated, no cases were excluded. * For cosmetic outcomes and patient satisfaction, patients who lost to follow, expired or did not give consent to participate in the study were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical techniques of pedicled local fasciocutaneous perforator flaps in partial breast reconstruction in terms of flap anatomy | May 2018 to February 2021 | Flap anatomy involves the type of flap |
| Surgical techniques of pedicled local fasciocutaneous perforator flaps in partial breast reconstruction in terms of location of perforators | May 2018 to February 2021 | — |
| Surgical techniques of pedicled local fasciocutaneous perforator flaps in partial breast reconstruction in terms of operative time | May 2018 to February 2021 | — |
| Surgical techniques of pedicled local fasciocutaneous perforator flaps in partial breast reconstruction in terms of post-operative morbidities | May 2018 to February 2021 | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cosmetic outcomes of patients following local perforator flaps in oncoplastic breast conserving surgery | April 2020 to June 2021 | Cosmetic outcomes will be measured using the validated BREAST-Q Breast-Conserving Therapy (BCT) domain version 2.0. Patient's answers are converted to a number from 0 (worst) to 100 (best) using the Q-Score tool. |
| Patient satisfaction following local perforator flaps in oncoplastic breast conserving surgery | April 2020 to June 2021 | Patient satisfaction will be measured using the validated BREAST-Q Breast-Conserving Therapy (BCT) domain version 2.0. Patient's answers are converted to a number from 0 (worst) to 100 (best) using the Q-Score tool. |
Countries
Pakistan
Outcome results
None listed