An estimated 67%–94% of breast tumors are breast fibroadenoma or fibroadenoma mammae (FAM). Vacuum-assisted breast biopsy (VABB) provides a less-invasive surgical approach for tissue extraction with small scars without breast cosmetic distortion compared to conventional lumpectomy. This study aimed to observe patient satisfaction toward ultrasonography (USG)-guided VABB surgical outcome according to Universitas Sebelas Maret Breast Satisfaction Questionnaire 8 (UNS-BsQ8). This general qualitative exploratory study was performed from 2019 to 2022. A number of 57 FAM patients participated in this study three days after the surgery. A structured one-time interview was conducted to gain personalized, in-depth VABB satisfaction. Peer-reviewed and psychological thematic analyses were also conducted to determine several factors causing satisfaction and dissatisfaction from each question’s score of UNS-BsQ8. Using thematic psychological analysis, we discovered three main issues that contributed to feeling satisfied: having accountable surgeons, taking time to communicate, and trustworthiness. Altogether, only question 2 (Q2) of UNS-BsQ8 showed unfavourable and dissatisfied outcomes (2.824 ± 0.889 of the maximum score of 5.00). Taking time to communicate and trustworthiness indirectly contributes to the highest VABB satisfaction level (Q1 to Q8, except Q3). The Q1, Q2, Q5 to Q8 of UNS-BsQ8 resulted in a satisfaction score of >4.00, except for Q4 (3.385 ± 1.292). USG-guided VABB for FAM can be a safe and effective alternative to conventional surgical excision and has better patient satisfaction regarding post-surgical pain and discomfort, wound healing progress, and cosmetic and esthetic preservation based on UNS-BsQ8.
Key words: breast fibroadenoma, fibroadenoma mammae, vacuum-assisted breast biopsy, surgery, satisfaction.
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