[Mastectomy in ambulatory hospitalization or 24hours: Feasibility, satisfaction and preferences of the patients].

Autor: Lobelle S; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France. Electronic address: lobellesandrine@gmail.com., Raylet M; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France., Cohen M; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France., Lambaudie E; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France., Bannier M; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France., Blache JL; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France., Francon D; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France., Houvenaeghel G; Département de chirurgie oncologique, institut Paoli-Calmettes, CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France; Université Aix Marseille, 13284 Marseille, France.
Jazyk: francouzština
Zdroj: Gynecologie, obstetrique, fertilite & senologie [Gynecol Obstet Fertil Senol] 2017 Feb; Vol. 45 (2), pp. 89-94. Date of Electronic Publication: 2017 Feb 08.
DOI: 10.1016/j.gofs.2016.12.020
Abstrakt: The aim of this study is to analyze the feasibility of ambulatory hospitalization or 24hours hospitalization for breast cancer treatment by mastectomy, as well as the satisfaction and the preferences of patients with regard to these ways of hospitalization.
Methods: This observational retrospective study listed the patients operated for breast cancer who had required a mastectomy at the institute Paoli-Calmettes between the 1st of January 2013 and June 30th, 2015. A questionnaire of satisfaction was proposed to the patients regarding their mode of hospitalization.
Results: One hundred and thirteen patients were included among which 29 were in the ambulatory group and 84 in the 24hours hospitalization group. The complications were represented by the rate of hematomas (3.5 %), which required a surgical resumption for two of the patients in the 24hours hospitalization group and for one patient in the ambulatory group (P=0.75). Patient's satisfaction rate was globally high: 72.7 % regardless of the mode of hospitalization (P=0.064).
Conclusion: The realization of mastectomy in ambulatory hospitalization seems feasible when the organization in pre- and postoperative is anticipated with a high degree of satisfaction of the patients. The psychological impact of this radical surgery seems to be a factor to be taken into account and requires a meticulous selection of the patients.
(Copyright © 2016 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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