van Dam F S, Bergman R B
Department of Social Medicine, The Netherlands Cancer Institute (Antoni van Leeuwenhoek Huis), Amsterdam.
Eur J Surg Oncol. 1988 Apr;14(2):141-9.
Why are only less than 1% of the mastectomized women in The Netherlands reconstructed? We report the results of four studies, among reconstructed patients and their partners, among women who had an amputation only and among general and plastic surgeons in The Netherlands. In contrast to what is thought by (plastic) surgeons, women do not opt in the first place for breast reconstruction because of emotional or cosmetic reasons, but to be freed from the prosthesis. Surgeons hardly ever take the initiative to inform patients about breast reconstruction. Knowledge about breast reconstruction is gained mainly from the mass media. Nearly all reconstructed patients are satisfied with the results. This is independent of the objective cosmetic results. In our opinion amputated women should be informed about breast reconstruction in the same way as about the external prostheses. We also reviewed the surgical aspects concerning indications, timing and available techniques of breast reconstruction. We concluded that the improved surgical procedures make breast reconstruction less burdensome for the patients than the older surgical techniques.
为什么在荷兰，接受乳房切除术的女性中只有不到1%的人进行了乳房重建？我们报告了四项研究的结果，研究对象包括接受乳房重建的患者及其伴侣、仅接受截肢手术的女性以及荷兰的普通外科医生和整形外科医生。与（整形）外科医生的想法相反，女性选择乳房重建首先不是出于情感或美容原因，而是为了摆脱假体。外科医生几乎从不主动告知患者有关乳房重建的信息。有关乳房重建的知识主要来自大众媒体。几乎所有接受乳房重建的患者对结果都很满意。这与客观的美容效果无关。我们认为，应该以与告知外部假体相同的方式，向截肢女性介绍乳房重建。我们还回顾了乳房重建的手术适应症、时机和可用技术等方面。我们得出的结论是，与旧的手术技术相比，改进后的手术程序使乳房重建对患者来说负担更小。
