Harmony of Quality of Life and Emotional Well-Being: The Impact of Combining Conservative Breast Surgery with Minimal Reconstruction in Breast Cancer Patients | ||
| Ain Shams Journal of Surgery | ||
| Volume 17, Issue 1, January 2024, Pages 76-88 PDF (571.39 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2024.337018 | ||
| Authors | ||
| Aimen Elsheikh Khalil Abuelnour1; Taher H. x H. Elwan* 1; Usama Akl1; Ahmed Elabwabi2; Elshennawy ATM3; RH Agwa4; Ibrahim M. Shatla5; Nasser A. Zaher6 | ||
| 1Department of General Surgery, Faculty of Medicine, Al Baha University, KSA | ||
| 2Department of Psychiatry, Faculty of Medicine, Al Baha University, KSA | ||
| 3Department of Histology and Anatomy, Faculty of Medicine, Al Baha University, KSA | ||
| 4Department of Internal Medicine, Faculty of Medicine, Al Baha University, KSA | ||
| 5Department of Physiology, Faculty of Medicine, Al Baha University, KSA | ||
| 6Department of General Surgery, Faculty of Medicine, Benha University, Egypt | ||
| Abstract | ||
| Introduction: To assess the influence of conservative breast surgery combined with breast reconstruction (CBSBR) on the overall condition of breast cancer patients, as well as their quality of life (QOL) and levels of depression. Patients and methods: The study comprised 50 patients categorized into two groups A and B who underwent surgical treatment for breast cancer, utilizing either (MRM) or (CBS-BR) approach. All participants underwent preoperative assessment of their quality of life (QOL) using The QOL Instrument and an evaluation of depression using The Beck Depression Inventory (BDI). Follow-up assessments were conducted at 3 and 6 months postoperatively (PO). Results: It was observed that all patients experienced a negative preoperative impact of breast cancer on their QOL; however, they demonstrated gradual improvement with significantly higher total scores on the QOL Instrument (QOL-BC) at 3 and 6 months postoperatively compared to their preoperative scores. The removal of cancer had a positive effect on patients’ mood, which continued throughout the postoperative period, resulting in significantly lower Beck Depression Inventory (BDI) scores and a reduced frequency of higher depression grades at 3 and 6 months postoperatively compared to their preoperative scores. There was a notable positive and significant correlation between breast cancer and both QOL-BC and BDI scores, as well as a positive and significant correlation between the scores of both questionnaires. Conclusion: (CBS-BR) appears to be a safe and effective procedure for treating breast cancer, leading to subsequent improvements in quality of life and a reduction in depression symptoms among patients. | ||
| Keywords | ||
| Conservative breast surgery; breast reconstruction; quality of life; Depression | ||
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