Article Sidebar

PDF
Date Published: 24/04/2026
Abstract Views: 0
Views PDF: 0
DOI: https://doi.org/10.51298/vmj.v560i3.18005
Issue
Vol. 560 No. 3 (2026)
Section
Các bài báo
How to Cite
Hoàng, T. H., & Hồ, V. L. (2026). APPLICATION OF POLYPROPYLENE MESH IN IMMEDIATE BREAST RECONSTRUCTION SURGERY FOR BREAST CANCER TREATMENT AT HUE CENTRAL HOSPITAL. Vietnam Medical Journal, 560(3). https://doi.org/10.51298/vmj.v560i3.18005

APPLICATION OF POLYPROPYLENE MESH IN IMMEDIATE BREAST RECONSTRUCTION SURGERY FOR BREAST CANCER TREATMENT AT HUE CENTRAL HOSPITAL

Thanh Hà Hoàng, Văn Linh Hồ

Main Article Content

Abstract

and aesthetic outcomes of polypropylene mesh–assisted immediate breast reconstruction (IBR). Methods: Single-center retrospective–prospective cohort at Hue Central Hospital (Dec 2021–Dec 2024). Thirty-eight breast cancer patients underwent skin-sparing mastectomy with IBR using mesh: TRAM+mesh (n=30) or implant+mesh (n=8). Complications were recorded at 3/6/9/12 months; aesthetics by Lowery–Carlson scale. Results: Mean age 42.3±9.1 years; early clinical stages (cT1–T2) 78.9%. Any 12-month complication rate 18.4% (TRAM 20.0% vs implant 12.5%; p=1.000); no flap loss/implant exposure; no new events at 12 months. Satisfaction score: 4.11, Lowery–Carlson score 31.68±3.97 with 86.8% rated “Good–Excellent.” Two bone metastases (at 21 and 28 months); all patients alive at data cutoff. Conclusions: Polypropylene mesh–assisted IBR is feasible and safe with high cosmetic satisfaction over 12 months; larger cohorts with longer follow-up are warranted.

Article Details

Keywords

immediate breast reconstruction; TRAM; implant-based reconstruction; polypropylene mesh; Lowery–Carlson.

References

1. GLOBOCAN 2020, Estimated incidence, mortality and Prevalence Worldwide in 2020.; Available from: http:// globocan.iarc.fr/ Pages/fact _sheets _ cancer.aspx (2020).
2. Nguyễn Đình Tùng, (2020), Tái tạo vú bằng vạt TRAM có cuống là phẫu thuật đáng tin cậy đối với ung thư vú giai đoạn sớm, Tạp chí Y học Lâm Sàng, 66, Pg. 3-9.
3. Lê Hồng Quang, Bùi Anh Tuấn. Kết quả phẫu thuật tái tạo tuyến vú bằng túi độn một thì trên bệnh nhân ung thư vú giai đoạn sớm tại Khoa Ngoại vú, Bệnh viện K. Tạp chí Ung Thư Học Việt Nam. 2022;02:1–6.
4. Gentile P, Bernini M, et al. Comparative study of a polypropylene mesh and a breast implant for immediate breast reconstruction: A multicenter, prospective, randomized clinical trial. Bioact Mater. 2021;6(7):2173-2183. doi:10.1016/ j.bioactmat.2021.03.011.
5. Edsander-Nord A., Jurell G., and Wickman M. (1998), "Donor-site morbidity after pedicled or free TRAM flap surgery: a prospective and objective study", Plast Reconstr Surg. 102(5), pp. 1508-16.
6. Carlson GW, Page A, Johnson E, Nicholson K, Styblo TM, Wood WC. Skin-sparing mastectomy: oncologic and reconstructive considerations. Ann Surg. 1997 Jan;225(1):570–8. doi:10.1097/00000658-199705000-00015.
7. Alderman A. K., et al. (2007), "Does patient satisfaction with breast reconstruction change over time? Two-year results of the Michigan Breast Reconstruction Outcomes Study", J Am Coll Surg. 204(1), pp. 7-12.
8. Harris, Zhang X. Simple prosthesis versus prosthesis plus titanium-coated polypropylene mesh for implant-based immediate breast reconstruction after total mastectomy for breast cancer. Gland Surg. 2019;8(6):773-783. doi: 10.21037/ gs.2019.12.17.
9. Chun Y. S., et al. (2010), "Comparison of morbidity, functional outcome, and satisfaction following bilateral TRAM versus bilateral DIEP flap breast reconstruction", Plast Reconstr Surg. 126(4), pp. 1133-1141.
10. Clarke H, Pusic A, Cordeiro P, et al. A comparison of the costs and aesthetic outcomes of acellular dermal matrix versus polypropylene mesh in breast reconstruction. Plast Reconstr Surg. 2017;139(5):978-986. doi:10.1097/PRS. 0000000000003337.