Tran P L, Houdjati H, Barau G, Boukerrou M
Service de gynécologie-obstétrique, pôle Femme-Mère-Enfant, groupe hospitalier Sud-Réunion, CHU de la Réunion, BP 350, 97448 Saint-Pierre cedex, Réunion.
Service de gynécologie-obstétrique, pôle Femme-Mère-Enfant, groupe hospitalier Sud-Réunion, CHU de la Réunion, BP 350, 97448 Saint-Pierre cedex, Réunion; Centre d'étude périnatale de l'océan Indien (CEPOI), UFR santé de la Réunion, CHU de la Réunion, 1, allée des Aigues-Marines, 97487 Saint-Denis cedex, Réunion; UFR santé, université de la Réunion, 15, avenue René-Cassin, BP 7151, 97490 Saint-Denis cedex 9, Réunion.
Gynecol Obstet Fertil. 2014 Apr;42(4):205-9. doi: 10.1016/j.gyobfe.2014.01.003. Epub 2014 Mar 29.
Partial mastectomy, augmentation and reduction mammaplasty are often operated on women who are not yet bothered by breastfeeding. The objectives of this study were to evaluate the information given to patients before surgery, and describe difficulties that mothers confront when starting breastfeeding in order to create a reference document about breastfeeding to inform patients who will undergo such surgery in the future.
We led one first study to evaluate the surgeons' practice in the Reunion Island and a second retrospective and descriptive study upon patients.
We encountered the fact that few patients in childbearing age ask for information about breastfeeding before undergoing surgery, but surgeons do not systematically give such information either, even less before partial mastectomy. The impact of surgery on breastfeeding depends on the type of intervention and the surgical technique. Even though breastfeeding is possible, the mean period of breastfeeding after surgery is shorter and the most frequent difficulty encountered is lactation insufficiency, even more after reduction mammaplasty, periareolar incision, and nipple hypoesthesia after surgery.
The information document that we tried to establish concerning breastfeeding after partial mastectomy, augmentation and reduction mammaplasty, may compensate patients' lack of information and sums up all the complications described in our study and in the literature.
部分乳房切除术、隆乳术和缩乳术通常施于尚未受母乳喂养问题困扰的女性。本研究的目的是评估术前向患者提供的信息，并描述母亲们开始母乳喂养时所面临的困难，以便创建一份关于母乳喂养的参考文件，为未来将接受此类手术的患者提供信息。
我们首先开展了一项研究，以评估留尼汪岛外科医生的做法，其次对患者进行了一项回顾性描述性研究。
我们发现，很少有育龄患者在手术前询问有关母乳喂养的信息，而且外科医生也没有系统地提供此类信息，在部分乳房切除术前更是如此。手术对母乳喂养的影响取决于干预类型和手术技术。尽管母乳喂养是可能的，但术后母乳喂养的平均时间较短，最常见的困难是泌乳不足，在缩乳术、乳晕周围切口术后以及术后乳头感觉减退的情况下更是如此。
我们试图建立的关于部分乳房切除术、隆乳术和缩乳术后母乳喂养的信息文件，可能会弥补患者信息的不足，并总结我们研究及文献中描述的所有并发症。
