title: Cosmesis and body image after adult right lobe living liver donation.
abstract: BACKGROUND
  Little is known about donors' perception and psychologic impact of the physical changes that occur after (open) living donor hepatectomy. The aim of this study was to examine the body image and scar satisfaction after donor hepatectomy and to measure the relationship to postdonation quality of life.
  
  
  METHODS
  Questionnaires measuring body image, cosmesis, and health-related quality of life were administered to 142 adults who underwent right lobe living donor hepatectomy between 2000 and 2007.
  
  
  RESULTS
  Liver donors reported a significantly lower body image and lower cosmetic satisfaction with their scar when compared with published data on donors who underwent open nephrectomy. Donors' predonation health concerns and the perception that the recipient was engaging in risky behavior posttransplant were associated with lower postdonation body image scores. In addition, younger age and non-white ethnicity were associated with lower cosmetic scores after donation. Donors with a lower perception of body image and cosmesis reported lower physical and mental health, based on scores on the 36-item Short-Form Health Survey health-related quality of life index, and significantly greater interference in both spousal relationships and their sex life. Younger donors and donors with perioperative complications were also more likely to report decreased confidence after donation.
  
  
  CONCLUSIONS
  There are unique risk factors that predict a decreased perception of body image and cosmesis postdonation that may be useful in the donor evaluation process. Donors identified to be at risk for the development of a low perception of body image and cosmesis may require close follow-up and additional psychiatric services during the donation process.
authors.affiliation: University Health Network, Toronto, ON, Canada.
authors.forename: Derek A
authors.initials: DA
authors.lastname: DuBay
authors.forename: Susan
authors.initials: S
authors.lastname: Holtzman
authors.forename: Lesley
authors.initials: L
authors.lastname: Adcock
authors.forename: Susan E
authors.initials: SE
authors.lastname: Abbey
authors.forename: Sarah
authors.initials: S
authors.lastname: Greenwood
authors.forename: Cailin
authors.initials: C
authors.lastname: Macleod
authors.forename: Arash
authors.initials: A
authors.lastname: Kashfi
authors.forename: Eberhard L
authors.initials: EL
authors.lastname: Renner
authors.forename: David R
authors.initials: DR
authors.lastname: Grant
authors.forename: Gary A
authors.initials: GA
authors.lastname: Levy
authors.forename: George
authors.initials: G
authors.lastname: Therapondos
mesh_terms: D000328:Adult; D000368:Aged; D001828:Body Image; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006306:Health Surveys; D006498:Hepatectomy / Q000191:economics / Q000523:psychology*; D006801:Humans; D007182:Income; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D010465:Perception; D010549:Personal Satisfaction; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires