The dorsalis major flap is an interesting therapeutic option in breast reconstruction because of reliability and reproducibility. In recent years, the minimal flap technique has been developed, which consists of removing only a portion of the of the large dorsal muscle to reduce the painful and functional sequelae of this surgery. The objective of this prospective study is to evaluate the functional and aesthetic results in patients who have undergone who have undergone this procedure (prospective cohort) or who will undergo this procedure or prosthetic reconstruction (prospective cohort). The investigators also wish to evaluate the quality of life of patients after reconstruction with a minimal harvest dorsalis flap or a prosthesis or prosthesis in the prospective cohort.
Retrospective Cohort : * Clinical data reconstruction and follow-up up to 1 year * DASH questionnaire * Breast Q * aesthetic evaluation (patient and surgeon and other health professional) Prospective Cohort : * Clinical data reconstruction and follow-up up to 1 year * DASH questionnaire (pre-op, at 6 month and at 12 month) * Breast Q(pre-op, at 6 month and at 12 month) * aesthetic evaluation (patient and surgeon and other health professional) (at 6 month and at 12 month)
Study Type
OBSERVATIONAL
Enrollment
190
Muscle sparing Latissimus Dorsi Flap or prothesis
Institut de Cancerologie de L'Ouest (Ico)
Angers, France
functional evaluation of the shoulder and upper limb (mobility and pain)
Disabilities of the Arm, Shoulder and Hand (DASH) (0 = no disability to 100 = maximum disability)
Time frame: 6 month
satisfaction of aesthetic by the patient and by the surgeon
5 numerical scales (from 0 to 5) measuring overall satisfaction with the reconstruction, general appearance of the breast, breast shape, breast consistency and breast volume
Time frame: 6 month
occurrence of postoperative complications
complications
Time frame: 6 month
quality of life through the Breast-Q questionnaire
Breast-Q questionnaire
Time frame: 6 months
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