PHẪU THUẬT UNG THƯ VÚ GIAI ĐOẠN SỚM VỚI TÁI TẠO BẰNG TÚI ĐỘN CÓ SỬ DỤNG PROLENE MESH

Abstract

Background: Several techniques are available today for immediate breast reconstruction and the choice depends on patient desire, the local condition of the thoracic tissues and, of course, surgeon experience and skills. If a definitive implant is used or a flap performed, it generally requires only one surgical procedure under general anesthesia, while using a tissue expander requires two surgical procedures. Objective: Breast reconstruction surgery - a series of surgical procedures aimed at recreating a breast so that it looks as much as possible like the other breast. Materials and methods: We report a series cases early breast cancer patients who underwent mastectomy and immediate breast reconstruction with implants in a submuscular pocket created beneath the pectoralis major muscle combine with prolene mesh. The study has been done at Breast department Cho Ray hospital from 04/2020 to 04/2021. Results: There were 25 cases with early breast cancer (Stage 0: 6 cases, Stage IA: 2 cases, Stage IIA: 17 cases), in that two cases used neoadjuvant therapy. A total of 17 nipple-sparing mastectomy reconstructions and 8 skin-sparing mastectomy reconstructions were performed during the study period. Mean age were 45,4 ± 9,2 (from 30 to 63). Mean time operation were 239 ± 26,4 minutes. No major complications. There are one case with skin redness and one case with partial nipple ischemia. In cosmetic aspect, results were excellent 20% and good 80%. After operating the patients had been follow-up and treatment with MDT consultant, no case need adjuvant radiotheraphy. No recurrene or metastasis. Conclusion: Immediate breast reconstrution with implant in early breast cancer is feasible with strict condition. However, Further studies with a larger number of patients and a follow-up are necessary to draw more validated conclusions