Análise comparativa da simetria mamária pré e pós-operatória em pacientes submetidas a cirurgia oncoplástica da mama mediante a utilização do software BSYMMETRY

Abstract

BACKGROUND: With the advent of oncoplastica breast surgery there was often an improvement on the initial status of the breast with increasing the patient`s self- esteem. But despite the use of these techniques still noted, in clinical practice, a significant percentage of patients dissatisfied with the post surgical result regarding breast symmetry. This dissatisfaction is often subjective and can lead to breakage of the harmony in the doctor-patient relationship and a likely and unwanted legal questioning, which motivated the present study with the impersonal analysis by software of easy use and obtaining. METHOD: Patients of the breast unit of Hospital Nossa Senhora das Graças in Curitiba – PR, undergoing breast-conserving surgery with immediate reconstruction with oncoplastics techniques involving different cutaneous accesses, pedicles and mammoplasty for symmetrization between January 2012 to September 2015 had their breasts photographed in pre and post- operative (6 months). These images were submitted to BSymmetry software that made breast symmetry analysis by providing a percentage. It was made a relationship between these percentages and variables oncological e clinicals. RESULTS: The studied variables have not changed statistically significant the breast symmetry. CONCLUSIONS: The breast symmetry matter in post-surgical patient's satisfaction and medical professional. No variable studied demonstrated influence of statistically significant way (p < 0.05) breast symmetry. The BSymmetry, proved to be easy to use with the possibility of becoming a tool of everyday use in surgical and medical offices.