Yfirlit árangurs eftir brjóstaminnkunaraðgerðir, framkvæmdar á Landspítala Hringbraut 1984-1993

2.50
Hdl Handle:
http://hdl.handle.net/2336/13943
Title:
Yfirlit árangurs eftir brjóstaminnkunaraðgerðir, framkvæmdar á Landspítala Hringbraut 1984-1993
Other Titles:
Reduction mammaplasty in Reykjavik, Iceland 1984-1993; An outcome analysis
Authors:
Kári Knútsson; Ólafur Einarsson
Citation:
Læknablaðið 2002, 88(12):915-9
Issue Date:
1-Dec-2002
Abstract:
Breast reduction is an established and effective operation in reducing symptoms of macromastia (Hyperplasia mammae). This is one of the most common operation done by plastic surgeons today. Objective: The purpose of this retrospective descriptive analysis was to determine the results of bilateral reduction mammaplasty in the period 1984-1993, at the department of Plastic Surgery, National University Hospital, Reykjavík, Iceland. Material and methods: Three plastic surgeons performed most of the operations (96%) and used different operation methods. Data from 277 patient charts was reviewed, and a total of 258 women were included in the study. Calculation of the complication rate was made for the whole group and each surgeon. A questionnaire form was sent to all of the 258 women that underwent bilateral reduction mammaplasty due to macromastia. Preoperative symptoms, the experience of the operation and lastly the patients opinion of the overall result of the operation were evalueted. 195 (75.5%) of the patients responded. Results: 28 patients or 11.5% had major complications (needed reoperation) and 69 patients or 28.5% had minor complications. The minor complications healed in a short time (a few weeks), but it is possible that the surgeons did not register all the minor complications equally. Of the major complications half needed reoperation within the first two days because of bleeding/hematoma and the other half needed reoperation later for other resons. The rate of major complications varied from 9% to 14.5% between the surgeons. The most common complication was necrosis of the skin (39% of the complications). Other common complications were minor wounds (18.5%), bleedings (15.5%), infections (11.5%), and dehiscence (8%). Data from the questionnaire indicated that 94% of the patients had physical symptoms and 82% had also emotional symptoms preoperatively. 81% thought the overall result was very good or good. 44% of the patients thought the main disadvantage of the operation was scar appearance. 84% thought the operation met their expectations in all (50%) or most regards (34%). 91.5% of the women would recommend operation to a friend. 66% said that macromastia was in the family. Conclusion: The overall results of this study indicate that reduction mammaplasty is an effective method in relieving symptoms due to macromastia and that, despite the complications, the majority of the operated women were pleased with the results.
Description:
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open
Additional Links:
http://www.laeknabladid.is

Full metadata record

DC FieldValue Language
dc.contributor.authorKári Knútsson-
dc.contributor.authorÓlafur Einarsson-
dc.date.accessioned2007-10-02T15:49:48Z-
dc.date.available2007-10-02T15:49:48Z-
dc.date.issued2002-12-01-
dc.date.submitted2007-10-02-
dc.identifier.citationLæknablaðið 2002, 88(12):915-9en
dc.identifier.issn0023-7213-
dc.identifier.pmid16940612-
dc.identifier.urihttp://hdl.handle.net/2336/13943-
dc.descriptionNeðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Openen
dc.description.abstractBreast reduction is an established and effective operation in reducing symptoms of macromastia (Hyperplasia mammae). This is one of the most common operation done by plastic surgeons today. Objective: The purpose of this retrospective descriptive analysis was to determine the results of bilateral reduction mammaplasty in the period 1984-1993, at the department of Plastic Surgery, National University Hospital, Reykjavík, Iceland. Material and methods: Three plastic surgeons performed most of the operations (96%) and used different operation methods. Data from 277 patient charts was reviewed, and a total of 258 women were included in the study. Calculation of the complication rate was made for the whole group and each surgeon. A questionnaire form was sent to all of the 258 women that underwent bilateral reduction mammaplasty due to macromastia. Preoperative symptoms, the experience of the operation and lastly the patients opinion of the overall result of the operation were evalueted. 195 (75.5%) of the patients responded. Results: 28 patients or 11.5% had major complications (needed reoperation) and 69 patients or 28.5% had minor complications. The minor complications healed in a short time (a few weeks), but it is possible that the surgeons did not register all the minor complications equally. Of the major complications half needed reoperation within the first two days because of bleeding/hematoma and the other half needed reoperation later for other resons. The rate of major complications varied from 9% to 14.5% between the surgeons. The most common complication was necrosis of the skin (39% of the complications). Other common complications were minor wounds (18.5%), bleedings (15.5%), infections (11.5%), and dehiscence (8%). Data from the questionnaire indicated that 94% of the patients had physical symptoms and 82% had also emotional symptoms preoperatively. 81% thought the overall result was very good or good. 44% of the patients thought the main disadvantage of the operation was scar appearance. 84% thought the operation met their expectations in all (50%) or most regards (34%). 91.5% of the women would recommend operation to a friend. 66% said that macromastia was in the family. Conclusion: The overall results of this study indicate that reduction mammaplasty is an effective method in relieving symptoms due to macromastia and that, despite the complications, the majority of the operated women were pleased with the results.en
dc.format.extent248641 bytes-
dc.format.mimetypeapplication/pdf-
dc.languageICEen
dc.language.isoisen
dc.publisherLæknafélag Íslands, Læknafélag Reykjavíkuren
dc.relation.urlhttp://www.laeknabladid.isen
dc.subjectLýtalækningaren
dc.subjectSkurðaðgerðiren
dc.subjectBrjóstaminnkunen
dc.subject.classificationLBL12en
dc.subject.classificationBrjóstaminnkun er viðurkennd og áhrifarík aðgerð til að lina þjáningar kvenna með ofvöxt í brjóstum (Hyperplasia mammae/Macromastia). Þetta er ein algengasta aðgerð sem lýtalæknar framkvæma í dag. Tilgangur: Að kanna árangur eftir brjóstaminnkunaraðgerðir sem framkvæmdar voru á lýtalækningadeild Landspítalans á tíu ára tímabili, 1984-1993, með aftursærri og lýsandi rannsókn. Efniviður og aðferðir: Þrír lýtalæknar framkvæmdu flestar aðgerðirnar, eða 248 (96%), og notuðu mismunandi aðferðir við framkvæmd þeirra. Rannsóknin var tvíþætt, annars vegar var farið í gegnum sjúkraskrár allra þeirra 277 kvenna sem leituðu til lýtalækna á Landspítalanum vegna stórra brjósta og gengist höfðu undir brjóstaminnkun á báðum brjóstum. Skráðar voru margþættar upplýsingar um sjúklingana, aðgerðina og árangur, sérstaklega með tilliti til fylgikvilla. Hins vegar var sendur spurningalisti til þeirra kvenna sem tóku þátt í rannsókninni. Helst var spurt um einkenni fyrir aðgerð, hvernig þær upplifðu aðgerðina (galla og kosti) og síðast en ekki síst árangur aðgerðar að þeirra mati. 258 konur tóku því þátt í rannsókninni (19 féllu úr), en 195 (75,5%) þeirra svöruðu spurningalistanum. Niðurstöður: 28 sjúklingar (11,5%) fengu meiriháttar fylgikvilla eftir aðgerð, en 28,5% sjúklinga fengu minniháttar fylgikvilla. Allir minniháttar fylgikvillar greru á fáum vikum en hugsanlegt er að læknarnir hafi verið misduglegir við að skrá þá. Af alvarlegum fylgikvillum þurfti helmingur í bráða enduraðgerð vegna blæðingar og hinn helmingurinn í síðkomna enduraðgerð vegna annarra fylgikvilla. Algengasti fylgikvillinn var drep í húð (39% af fylgikvillum). Aðrir algengir fylgikvillar voru sár (18,5%), blæðing (15,5%), sýking (11,5%), og gliðnun (8%). Alvarlegir fylgikvillar eftir skurðlæknum voru á bilinu 9% til 14,5%. Niðurstöður spurningalistans voru þær helstar að 94% sjúklinga höfðu líkamleg einkenni og þar af 82% með bæði líkamleg og sálræn vandamál fyrir aðgerð. 81% kvennanna fannst árangur aðgerðar vera góður eða mjög góður. 44% kvennanna fannst helstu gallar aðgerðarinnar vera ör en aðeins 14,5% höfðu gengist undir enduraðgerð vegna þess. 84% fannst aðgerðin hafa skilað tilætluðum árangri að öllu (50%) eða verulegu leyti (34%). 91,5% kvennanna mundu ráðleggja öðrum konum með stór brjóst aðgerð ef þær yrðu spurðar. 66% kvennanna sögðu stór brjóst vera ættgeng hjá þeim. Ályktanir: Niðurstöður þessarar rannsóknar sýna að brjóstaminnkun er áhrifarík aðgerð til að lina þjáningar kvenna með ofvöxt í brjóstum og að allflestar konur eru ánægðar með árangurinn, þrátt fyrir fylgikvillanaen
dc.titleYfirlit árangurs eftir brjóstaminnkunaraðgerðir, framkvæmdar á Landspítala Hringbraut 1984-1993en
dc.title.alternativeReduction mammaplasty in Reykjavik, Iceland 1984-1993; An outcome analysisen
dc.typeArticleen
dc.identifier.journalLæknablaðiðis
dc.format.digYES-

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