The Effect of Weight of Resection in Reduction Mammopalsty on the Symptoms and Quality of Life in Patients With Breast Hypertrophy in Nairobi, Kenya

Abstract

Background Breast Hypertrophy (Bh) Is a Psychologically and Physically Debilitating Condition Characterized by Abnormal Enlargement of the Breast Tissue. Studies Have Shown That Reduction Mammoplasty (Rm) Results in Improvement of Symptoms and Quality of Life (Qol). Whether Improvement in Symptoms and Qol Correlates to the Weight of Tissue Resected or Not, Remains Unknown as There Is Paucity of Data. Broad Objective: to Determine the Effect of Resected Weight in Rm on Bh Symptoms and Qol in Nairobi, Kenya Materials and Method: This Was a Multi-centre, Prospective, Observational Study Carried Out Between July 2020 and April 2021 in Knh, Akuh and Nh Hospitals in Nairobi. It Involved Females Aged 16-55 Years With Symptomatic Bh. Breast-q Questionnaire Was Administered Preoperatively and 6 Weeks Postoperatively. Intraoperatively, Resected Tissue for Each Breast Was Weighed Separately. Data Derived Was Coded and Input Into Spss (Version 23) From Where Descriptive Data Was Summarized Into Means, Modes and Frequencies. Paired T Test Was Calculated to Assess Statistical Significance in the Differences Between the Pre and Post Reduction Q Scores. Pearson Correlation Was Used to Correlate the Weight Resected to Differences in the Pre and Post-reduction Q Score. Results A Total of 76 Patients Were Followed Up to the Completion of the Study. The Mean Age, Weight and Bmi of the Patients Were 32 Years, 90kgs and 30kg/m2 Respectively. Statistically Significant Improvement in Quality of Life Was Observed in the Pre and Post Reduction Q Scores. Pearson Correlation Test, Revealed a Weak Positive Correlation Between Weight Resected and the Differences in the Pre and Post Reduction Q Scores. Conclusion Reduction Mammoplasty Leads to Improvement in Breast Hypertrophy Symptoms and Quality of Life. This Improvement Is Evident Regardless of the Weight Resected and Has a Weak Positive Correlation to the Weight of Breast Tissue Resected.