International Journal of Health Sciences & Research (www.ijhsr.org) 20 Vol.7; Issue: 1; January 2017 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Assessment of Satisfaction Level and Quality of Life in Patients Undergoing Oncoplastic Breast Surgery Sudhi Agrawal 1 , Surender Kumar 1 , Faraz Ahmed 1 , Shailendra Kumar 1 , Vijay Kumar 2 , Arun Kumar Singh 2 , Sandeep Kumar 1 , Rohit Kumar Singh 1 1 Department of Surgery, 2 Department of Plastic Surgery, King George‟s Medical University, Lucknow, India. Corresponding Author: Surender Kumar Received: 25/10/2016 Revised: 09/12/2016 Accepted: 13/12/2016 ABSTRACT Introduction: Benign and malignant diseases of the breast are surgically dealt often with the solitary aim of complete disease removal with little concern to the cosmesis of the breast and subsequent psychological morbidity following tumor surgery. A concept of Oncoplastic Breast Surgery (OBS) has thus emerged as a new generation subspecialty, which utilizes the intelligent and simultaneous use of, oncological and plastic surgical principles ensuring complete disease removal with acceptable cosmesis. Aim: To assesses the satisfaction level and quality of life (QOL) of the patients after OBS for either benign or malignant breast disease. Sample: Total 46 patients (19- Operable benign breast lumps (OBBL); 12- Carcinoma breast with OBS; 15- Carcinoma breast without OBS) at CSM Medical University, Lucknow, from August 2006- July 2007. A tool utilizing EORTC-QOL C-30 and 5-points Likert scale was used to assess the four basic aspects of quality of life (Physical, Social, Emotional and Functional). Observation: This prospective case series analysis of only one-year follow-up of 46 patients has precluded any hard statistical analysis. Perception of body deformity, shape and symmetry of the breasts, sexual life, self-confidence, feminity and functional QOL were rated significantly lower by the patients without OBS than the patients who underwent OBS. Further studies are however required to gain higher level of evidence and expertise in oncoplastic breast surgery. Nevertheless, it can be said that concept of oncoplastic breast surgery is very appealing one and it has a high scope for wider applicability in India. Key words: Oncoplastic Breast Surgery, Breast Cancer, Quality of life issues. INTRODUCTION Forms, contour, shape and functioning of the breasts have a profound psychosocial and sexual impact in women, but only few surgeons take into account of conserving form and function of breast while treating a breast disorder surgically. The primary aim of the surgeon, especially in the presence of cancerous lesions is to get rid of the disease disregarding the psychological morbidity that may lead to on account of altered shape, disfigurement and function. More recently however a new crop of surgeons have evolved the concept of “Oncoplastic Breast Surgery” which brings together the basic principles of plastic surgery and surgical oncology, to cure the patients without disturbing or minimally disturbing the normal anatomy of breast or else if a large amount of breast tissue is to be sacrificed it is replaced or reconstructed