Rochester, N.Y. From the Division of Plastic and Reconstructive Surgery, University of Rochester.
Plast Reconstr Surg. 2009 Dec;124(6):1781-1789. doi: 10.1097/PRS.0b013e3181bf8056.
Female plastic surgeons are well suited to make a personal choice regarding breast reconstruction options, based on their knowledge of the actual procedures and first-hand experience with results. The authors surveyed this group to elicit their personal views on various modalities of breast reconstruction and to ascertain which types of reconstruction they would choose if faced with such a decision.
All board-certified female plastic surgeons in the United States and Canada were surveyed by means of e-mail. This survey included questions regarding basic demographic and practice data. Respondents were requested to rank desired methods of reconstruction for themselves and to cite reasons for these choices.
A total of 435 surveys were sent: 350 were delivered (85 had invalid e-mail addresses), and 143 were returned (response rate, 41 percent). Overall, 66 percent of respondents chose implant-based reconstruction, 25 percent chose autologous reconstruction, and 9 percent chose no reconstruction. Respondents selecting autologous reconstruction cited cosmetic outcome as the most important factor considered in 47 percent of cases, compared with 14 percent of those choosing implant-based breast reconstruction (p = 0.0001). Invasiveness of the procedure/recovery time was cited as the most important factor by 83 percent of those surgeons opting for no breast reconstruction and by 51 percent of those choosing implant-based breast reconstruction (p = 0.0175).
Board-certified female plastic surgeons exhibit a strong desire to pursue implant-based breast reconstruction over autologous reconstruction. When it was chosen, autologous reconstruction was felt to offer improved aesthetic outcomes. When making such a decision, patients can use female plastic surgeons as a resource for information, thus helping them to make an informed decision.
女性整形医生基于对实际手术过程的了解和对手术结果的第一手经验，非常适合对乳房重建方案做出个人选择。作者对这一群体进行了调查，以了解他们对各种乳房重建方式的个人观点，并确定如果她们面临这样的决策，会选择哪种类型的重建。
通过电子邮件向美国和加拿大所有认证的女性整形医生进行调查。该调查包括有关基本人口统计学和实践数据的问题。要求受访者对自己希望采用的重建方法进行排名，并说明选择这些方法的原因。
共发送了 435 份调查，其中 350 份送达（85 份电子邮件地址无效），143 份返回（回复率为 41%）。总体而言，66%的受访者选择了基于植入物的重建，25%选择了自体组织重建，9%选择不进行重建。选择自体组织重建的受访者表示，在 47%的情况下，美容效果是考虑的最重要因素，而选择基于植入物的乳房重建的受访者中只有 14%（p=0.0001）。手术的侵入性/恢复时间是选择不进行乳房重建的 83%的医生和选择基于植入物的乳房重建的 51%的医生（p=0.0175）认为最重要的因素。
认证的女性整形医生强烈希望选择基于植入物的乳房重建，而不是自体组织重建。当选择自体组织重建时，医生认为其可获得更好的美容效果。在做出这样的决策时，患者可以将女性整形医生作为信息资源，帮助他们做出明智的决策。
