The latissimus dorsi flap is the oldest and most used technique for breast reconstruction. Nonetheless, there are few studies evaluation the long-term effect of harvesting one of the muscles of the back. This project has four parts. 1. Validation of scales/instrument for Swedish. 2. Long-term results after reconstruction with latissimus dorsi- a ten year retrospective follow-up. 3. Thoracodorsal artery perforator flap (TDAP) vs latissimus dorsi flap- a randomized controlled trial - breast reconstruction. 4. TDAP vs Limber flap - a randomized controlled trial- reconstruction of axillary hidradenitis suppurativa.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
550
Breast reconstruction
Breast reconstruction
Breast reconstruction
Sahlgrenska university hospital
Gothenburg, Sweden
Patient satisfaction and breast-related quality of life after breast reconstruction
Breast Q reconstruction.The BREAST-Q has multiple domains, each scored from 0 to 100 (higher scores indicate greater satisfaction or quality of life), there is no overall BREAST-Q score.
Time frame: 10 years
Back and shoulder function after breast reconstruction
Breast Q the back and shoulder function scale. The scale is scored from 0 (worst) to 100 (best). Higher scores reflect a better outcome.
Time frame: 10 years
Back appearance after breast reconstruction
Breast-Q the back appearance scale.The scale is scored from 0 (worst) to 100 (best). Higher scores reflect a better outcome.
Time frame: 10 years
Shoulder function after breast reconstruction
Western Ontario Osteoarthritis of the shoulder index (WOOS) provides scores on four domains: (1) physical symptoms; (2) sport, recreation, and work; (3) lifestyle; and (4) emotions.Each question has a possible score from 0-100 giving a total score up to 1900. The highest or most symptomatic score is 1900 and the best or asymptomatic score is 0.
Time frame: 10 years
Abdominal satisfaction after breast reconstruction
Breast Q abdominal satisfaction and abdominal well-being.The scale is scored from 0 (worst) to 100
Time frame: 10 years
Complications after breast reconstruction
Measured in patients randomized to TDAP or latissimus dorsi flap.
Time frame: 2 years
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