International Doctorate School in Clinical and Experimental Medicine, Università Degli Studi Di Modena E Reggio Emilia, Modena, Italy.
Azienda USL-IRCCS of Reggio Emilia (Health Professions Department), Reggio Emilia, Italy.
Support Care Cancer. 2024 Feb 10;32(3):153. doi: 10.1007/s00520-024-08351-3.
The dermopigmentation of the Nipple-Areola Complex (NAC) is a safe non-surgical reconstruction technique that can restore psychophysical integrity, representing the final step after oncological surgery. This scoping review aims to identify and synthesize the literature focused on medical tattooing for NAC reconstruction in women who underwent breast reconstruction after cancer surgery. Competence and training, outcomes and organizational aspects were assessed as specific outcomes.
The Joanna Briggs Institute (JBI) methodology for scoping reviews was followed. MEDLINE, Embase, Cochrane Library, Clinical Key, Scopus and Cinahl databases were consulted. After title (N = 54) and abstract (N = 39) screening and full-text review (N = 18), articles that met eligibility criteria were analyzed, critically apprised and narratively synthesized.
13 articles were analysed, with full texts (N = 11) and only abstract (N = 2). The overall quality of the literature (N observational studies = 11; N pilot experimental studies = 2) is weak. Nurses were the professionals mostly involved (N = 6), then medical staff (N = 4) and tattoo artists (N = 2). The professional training is poorly described in 6 papers. The most frequently assessed outcome was the satisfaction rate (N = 8). One study explored aspects of quality of life with a validated questionnaire. The management of these services resulted variable. Nurse-led services were implemented in 2 studies.
Despite methodological weaknesses, NAC tattooing research is relevant because it helps women redefine their identity after demolitive cancer treatments. Further research on processes and outcomes is needed.
乳晕复合体（NAC）的皮肤色素沉着是一种安全的非手术重建技术，可以恢复心理生理完整性，是肿瘤手术后的最后一步。本范围综述旨在确定和综合专注于女性癌症手术后乳房重建后 NAC 重建的医学纹身文献。评估了能力和培训、结果和组织方面作为特定结果。
遵循乔安娜·布里格斯研究所（JBI）的范围综述方法。查阅了 MEDLINE、Embase、Cochrane 图书馆、Clinical Key、Scopus 和 Cinahl 数据库。经过标题（N=54）和摘要（N=39）筛选以及全文审查（N=18），分析了符合入选标准的文章，并对其进行了批判性评估和叙述性综合。
分析了 13 篇文章，其中全文（N=11）和仅摘要（N=2）。文献的总体质量（N 观察性研究=11；N 试点实验研究=2）较弱。护士是最主要涉及的专业人员（N=6），其次是医务人员（N=4）和纹身艺术家（N=2）。有 6 篇论文对专业培训描述不佳。评估最多的结果是满意度（N=8）。一项研究使用经过验证的问卷探讨了生活质量方面。这些服务的管理结果各不相同。有 2 项研究实施了护士主导的服务。
尽管存在方法学上的弱点，但 NAC 纹身研究仍然具有相关性，因为它可以帮助女性在破坏性癌症治疗后重新定义自己的身份。需要进一步研究流程和结果。
