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   <subfield code="a">Patients' perceptions of the potential complications of bilateral reduction mammaplasty</subfield>
   <subfield code="h">[Elektronische Daten]</subfield>
   <subfield code="c">[D. Sainsbury, M. Hassan, P. Rorison, M. Erdmann]</subfield>
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   <subfield code="a">Reduction mammaplasty aims to reduce breast mass whilst improving aesthetic appearance. Post-operative complications may include scar and nipple-related problems, haematoma, infection and glandular necrosis. In our unit, patients undergoing surgical procedures are counselled by a nurse practitioner in addition to initial specialist consultation to establish patients' understanding of the potential complications and risks of bilateral reduction mammaplasty. Fifty patients completed questionnaires on admission to the ward the day before bilateral reduction mammaplasty. The questionnaires assessed patients' awareness of potential complications before final consent. Over 90% of the patients appreciated that further surgery, infection, altered nipple sensation or nipple necrosis were potential post-operative complications. However, a small cohort of patients consistently failed to correctly identify important potential complications (8% felt that wound breakdown never occurred, 6% thought that nipple necrosis and breast asymmetry never occurred). It is interesting to note that 18% of the patients did not appreciate that scarring occurs. The majority of patients are well-informed about the potential complications and risks of reduction mammaplasty. However, despite initial consent by a plastic surgeon and nurse practitioner counselling, a minority still fail to fully appreciate certain important risks including the appearance of scarring. This may potentially manifest as patient dissatisfaction.</subfield>
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   <subfield code="a">Springer-Verlag, 2007</subfield>
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   <subfield code="a">Bilateral reduction mammaplasty</subfield>
   <subfield code="2">nationallicence</subfield>
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   <subfield code="a">Breast surgery</subfield>
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   <subfield code="a">Surgical complications</subfield>
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   <subfield code="a">Nurse practitioners</subfield>
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   <subfield code="a">Pre-operative counselling</subfield>
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  <datafield tag="690" ind1=" " ind2="7">
   <subfield code="a">Patients' expectations of surgery</subfield>
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   <subfield code="a">Consent</subfield>
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   <subfield code="a">Sainsbury</subfield>
   <subfield code="D">D.</subfield>
   <subfield code="u">Department of Plastic Surgery, University Hospital of North Durham, North Road, DH1 5TW, County Durham, UK</subfield>
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   <subfield code="a">Hassan</subfield>
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   <subfield code="u">Department of Plastic Surgery, University Hospital of North Durham, North Road, DH1 5TW, County Durham, UK</subfield>
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   <subfield code="a">Rorison</subfield>
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   <subfield code="u">Department of Plastic Surgery, University Hospital of North Durham, North Road, DH1 5TW, County Durham, UK</subfield>
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   <subfield code="a">Erdmann</subfield>
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   <subfield code="u">Department of Plastic Surgery, University Hospital of North Durham, North Road, DH1 5TW, County Durham, UK</subfield>
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  <datafield tag="773" ind1="0" ind2=" ">
   <subfield code="t">European Journal of Plastic Surgery</subfield>
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   <subfield code="g">29/8(2007-05-01), 373-380</subfield>
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   <subfield code="a">Metadata rights reserved</subfield>
   <subfield code="b">Springer special CC-BY-NC licence</subfield>
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