ABSTRACT
Background and objective: Breast cancer has high incidence among Iranian women and their long term survival lead to have more challenges with cancer complication. This qualitative study aimed to identify psychological responses following breast cancer
Materials and methods: A qualitative phenomenological method has been designed for the study. A sample of 11 women with breast cancer by purposive sampling selected and semistructured in-depth interviews were conducted. The interviews were transcribed verbatim,then Information have been analyzed during 5 steps using smith's method
Results: Two main themes emerged from the interviews included basic reactions and residual reactions and The following six sub themes of despair of life, trying to find a guilty, social isolation, irritability-sensitivity, feeling incompetence and fear of disease recurrence has been determined
Conclusions: Although breast cancer is a physical disease but it has great impact on a person's mental health. Also So many psychological problems caused by breast cancer and its treatment, remains until many years after completion of therapies
ABSTRACT
Use of alloplastic material such as Gore-Tex and loco regional flaps for reconstruction of the large defects of chest wall has been well described. The purpose of this article is to present a useful technique of using the pediculated omental flap to cover the large chest wall defects. Three patients with large thoracic wall defects underwent reconstruction with omental flap with or without prolene mesh. These defects resulted from tumor resection. Their dimensions ranged from 25x30cm to 35x50cm. The omentum was tunneled through a separate opening in the abdominal wall into the subcutaneous plane and used to cover the defect and inner surface of prolene mesh. There was no complication and all wounds healed with no recurrence. The patients were followed for two years and there was no tumor recurrence or wound breakdown. Omental flap is a reasonable alternative for chest wall reconstruction especially when delay wound healing anticipated or when others loco regional flap are not appropriate