Yara Blok

58 Chapter 4 Figure 2: Survey overview on the practice of and attitudes towards PF preservation, and answers as provided by 22 included breast surgeons. PF indicates pectoral fascia DISCUSSION This study provides an overview on the current practice and opinions among Dutch plastic surgeons and breast surgeons toward handling of the PF during mastectomy. The results indicate that circa one in five plastic surgeons and breast surgeons routinely preserve the PF during mastectomies. Including those who responded that the PF is preserved on an occasional basis, half of the plastic surgeons and more than one-third of the breast surgeons do not stick to the standard dogmatic PF removal. The survey of the plastic surgeons shows that opinions differ on whether PF preservation may improve postoperative outcomes. Of all plastic surgical

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