Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study
Background: The impact of macromastia is unfortunately underestimated among developing South Asian countries. However, it remains a common cause of physical and emotional suffering among women. Aims and Objectives: We aimed to evaluate the efficacy of reduction mammoplasty in alleviating symptoms...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2023-11-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/53991 |
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| author | Kanchana Wijesinghe Umesh Jayarajah Malllawaarchchige Gayan Ranjan Mallawaarachchi Sumali Hirunika De Silva Thathya Thamarasie Wardana De Silva Ananthmoorthy Krishnamoorthy Dissanayaka Mudiyanselage Shihanie Rubeka Ajith De Silva |
| author_facet | Kanchana Wijesinghe Umesh Jayarajah Malllawaarchchige Gayan Ranjan Mallawaarachchi Sumali Hirunika De Silva Thathya Thamarasie Wardana De Silva Ananthmoorthy Krishnamoorthy Dissanayaka Mudiyanselage Shihanie Rubeka Ajith De Silva |
| author_sort | Kanchana Wijesinghe |
| collection | DOAJ |
| description | Background: The impact of macromastia is unfortunately underestimated among developing South Asian countries. However, it remains a common cause of physical and emotional suffering among women.
Aims and Objectives: We aimed to evaluate the efficacy of reduction mammoplasty in alleviating symptoms of macromastia and its impact on quality of life (QOL) among Sri Lanka females.
Materials and Methods: A prospective study was conducted among 48 patients who underwent reduction mammoplasty in a surgical unit in Sri Lanka. SF-36 questionnaire and a Visual Analog Scale were used to assess QOL and pain. The outcomes were assessed 1 week prior and at 2 weeks and 6 months after surgery.
Results: Median age was 43 years and the median body mass index was 26.8 kg/m2. The average duration of symptoms was 2 years. All patients initially were reluctant to seek medical advice. Only 10.4% of patients were aware of the availability of treatment. Wise-pattern reduction mammoplasty was performed in 79.2%. There was a significant reduction in pain following surgery. There was also an improvement in all domains of the QOL following surgery, especially in general health, pain, and physical functions.
Conclusion: Reduction of mammoplasty caused a significant improvement in the overall QOL with the reduction in pain for patients suffering from macromastia. Creating more awareness among the public to encourage women to discuss breast-related symptoms and to overcome sociocultural taboos is a timely necessity. |
| first_indexed | 2024-03-11T13:30:11Z |
| format | Article |
| id | doaj.art-235e29f8cf0d44c290456375058807ac |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-11T13:30:11Z |
| publishDate | 2023-11-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-235e29f8cf0d44c290456375058807ac2023-11-02T22:58:05ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-11-011411181186https://doi.org/10.3126/ajms.v14i11.53991Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational studyKanchana Wijesinghe 0https://orcid.org/0000-0001-8151-3366Umesh Jayarajah 1https://orcid.org/0000-0002-0398-5197Malllawaarchchige Gayan Ranjan Mallawaarachchi 2https://orcid.org/0009-0003-9215-5009Sumali Hirunika De Silva 3https://orcid.org/0009-0005-9793-943XThathya Thamarasie Wardana De Silva 4https://orcid.org/0009-0009-1370-692XAnanthmoorthy Krishnamoorthy 5https://orcid.org/0000-0002-9026-5752Dissanayaka Mudiyanselage Shihanie Rubeka 6https://orcid.org/0009-0005-7228-166XAjith De Silva 7https://orcid.org/0009-0008-6366-4564Senior Lecturer and Consultant Surgeon, Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka Senior Resident, Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaSenior Resident, Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka Senior House Officer, Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka Senior Resident, Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka Senior Resident, Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka Senior Resident, Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka Consultant Surgeon, Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka Background: The impact of macromastia is unfortunately underestimated among developing South Asian countries. However, it remains a common cause of physical and emotional suffering among women. Aims and Objectives: We aimed to evaluate the efficacy of reduction mammoplasty in alleviating symptoms of macromastia and its impact on quality of life (QOL) among Sri Lanka females. Materials and Methods: A prospective study was conducted among 48 patients who underwent reduction mammoplasty in a surgical unit in Sri Lanka. SF-36 questionnaire and a Visual Analog Scale were used to assess QOL and pain. The outcomes were assessed 1 week prior and at 2 weeks and 6 months after surgery. Results: Median age was 43 years and the median body mass index was 26.8 kg/m2. The average duration of symptoms was 2 years. All patients initially were reluctant to seek medical advice. Only 10.4% of patients were aware of the availability of treatment. Wise-pattern reduction mammoplasty was performed in 79.2%. There was a significant reduction in pain following surgery. There was also an improvement in all domains of the QOL following surgery, especially in general health, pain, and physical functions. Conclusion: Reduction of mammoplasty caused a significant improvement in the overall QOL with the reduction in pain for patients suffering from macromastia. Creating more awareness among the public to encourage women to discuss breast-related symptoms and to overcome sociocultural taboos is a timely necessity.https://www.nepjol.info/index.php/AJMS/article/view/53991quality of life; clinical outcomes; reduction mammoplasty; symptomatic macromastia; sri lanka |
| spellingShingle | Kanchana Wijesinghe Umesh Jayarajah Malllawaarchchige Gayan Ranjan Mallawaarachchi Sumali Hirunika De Silva Thathya Thamarasie Wardana De Silva Ananthmoorthy Krishnamoorthy Dissanayaka Mudiyanselage Shihanie Rubeka Ajith De Silva Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study Asian Journal of Medical Sciences quality of life; clinical outcomes; reduction mammoplasty; symptomatic macromastia; sri lanka |
| title | Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study |
| title_full | Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study |
| title_fullStr | Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study |
| title_full_unstemmed | Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study |
| title_short | Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study |
| title_sort | clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among sri lankan women a prospective observational study |
| topic | quality of life; clinical outcomes; reduction mammoplasty; symptomatic macromastia; sri lanka |
| url | https://www.nepjol.info/index.php/AJMS/article/view/53991 |
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