Authors
Fedosov S.I.1, Chmyrev I.V.2, Fedosova K.Yu.2
1 JSC «Medical Center RAMI», Saint Petersburg
2 S.M. Kirov Military medical academy, St. Petersburg
Abstract
This study is based on the results of a retrospective analysis of aesthetic reconstructive assistance provided to patients with hypoplastic anomalies of mammary gland development. When comparing two groups of patients based on postoperative complications, it was found that the probability of developing specific complications of mild and moderate severity in the group using the developed method was lower compared to the group where implants were used as the method of aesthetic reconstruction (by 6.66% (p>0.05) and by 26.6% (p>0.05) respectively). No severe complications were identified in this study.
Upon analyzing the survey results of patients using the BREAST-Q questionnaire in the postoperative period, a more significant improvement in quality of life and greater satisfaction with the aesthetic result of the reconstructive operation were found in the group using the developed method with lipografting technology (p<0.05).
Given the growing economic constraints in the healthcare sector, clinicians can no longer only consider the effectiveness of surgical intervention. In addition to a simple analysis of the effectiveness of the operation, an analysis based on the «cost-effectiveness» coefficient indicates a higher effectiveness of the developed method of aesthetic breast reconstruction using lipografting technology (p<0.05).
Based on the results of the study, it was concluded that the developed method of aesthetic reconstruction can rightfully be considered the method of choice for hypoplastic anomalies of mammary gland development.
Keywords: hypoplastic anomalies of mammary gland development, aesthetic reconstruction, lipografting technology.
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