title: High satisfaction rates in women after DIEP flap breast reconstruction.
abstract: BACKGROUND
  Breast reconstruction (BR) is aimed at improving quality of life (QoL) after mastectomy. Patient satisfaction is an important indicator to evaluate the success of BR. This study explored patient satisfaction and its determinants in women undergoing deep inferior epigastric artery perforator (DIEP) flap BR as well as the impact of the procedure on body image, sexuality and QoL.
  
  
  METHODS
  Patient satisfaction and QoL were studied in 72 women who underwent DIEP flap BR using a study-specific questionnaire as well as the Short Form-36 (SF-36).
  
  
  RESULTS
  Patient satisfaction was very high. Approximately 90% of the patients reported that they had been sufficiently informed about the procedure and its consequences, that their preoperative expectations had been met, that the reconstructed breast felt like their own and that they would choose the same procedure again and would recommend this procedure to a friend. Patient satisfaction was positively and significantly related to the reconstructed breast(s) feeling like their own. Women with secondary reconstructions were more positive about changes in sexuality and femininity than women with primary BRs. There were no clinically relevant differences in QoL between our study population and a random sample of Dutch females.
  
  
  CONCLUSIONS
  Women with DIEP flap BRs reported high satisfaction rates. However, to compare these satisfaction rates with other forms of BR, prospective studies in comparable groups are necessary.
authors.affiliation: Erasmus University Medical Center, Department of Plastic and Reconstructive Surgery, PO Box 2040, Nl-3000 CA Rotterdam, The Netherlands. t.damen@erasmusmc.nl
authors.forename: Tim H C
authors.initials: TH
authors.lastname: Damen
authors.forename: Reinier
authors.initials: R
authors.lastname: Timman
authors.forename: Ellen H
authors.initials: EH
authors.lastname: Kunst
authors.forename: Jessica P
authors.initials: JP
authors.lastname: Gopie
authors.forename: Paula J C
authors.initials: PJ
authors.lastname: Bresser
authors.forename: Caroline
authors.initials: C
authors.lastname: Seynaeve
authors.forename: Marian B
authors.initials: MB
authors.lastname: Menke-Pluijmers
authors.forename: Marc A M
authors.initials: MA
authors.lastname: Mureau
authors.forename: Stefan O P
authors.initials: SO
authors.lastname: Hofer
authors.forename: Aad
authors.initials: A
authors.lastname: Tibben
mesh_terms: D001828:Body Image; D001941:Breast Diseases / Q000601:surgery*; D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D016014:Linear Models; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D009010:Monte Carlo Method; D009426:Netherlands; D017060:Patient Satisfaction; D010865:Pilot Projects; D011788:Quality of Life; D013524:Surgical Flaps / Q000098:blood supply*; D011795:Surveys and Questionnaires