Avaliação estética comparativa na Reconstrução Mamária Aloplástica entre um ou dois estágios e satisfação das mulheres reconstruídas

Abstract

This study is a comparative aesthetic evaluation of one- or two-stage alloplastic breast reconstruction and the satisfaction of women who underwent reconstruction. The objective is to evaluate the aesthetic perspective and satisfaction of patients who underwent one- or two-stage alloplastic breast reconstruction using Breast-Q. The importance of this study is evident since breast cancer ranks first in incidence among women compared to other types of cancer, in addition to being the cancer with the highest mortality rate in the female population. In addition, breast cancer has a high survival rate and has shown a progressive improvement in the survival rate in recent years. In view of the better prognosis of these patients, who generally undergo highly mutilating surgical therapeutic measures that impact their quality of life, it is essential to evaluate their satisfaction with these treatment measures. The method used was a systematic review with meta-analysis, and the results were presented through forest plot graphs with the Random Effects model. A total of 323 studies were obtained, of which only 9 were included. When considering the available studies that use Breast-Q to assess patient satisfaction, it is possible to observe that there is no significant difference between the two techniques in quality of life, satisfaction with the breasts or adverse effects. These results persist and are obtained even after using sensitivity analysis. However, there is a clear lack of controlled trials that confirm these findings.