Our Summary

This study looks at how to improve the look of breasts after lumpectomy surgery for breast cancer. The researchers tested the use of a type of material called Vicryl mesh, which they inserted straight after the lumpectomy to fill the space left by the removed cancer. They then assessed the look and feel of the breast after surgery, and noted any side effects.

Between 2008 and 2014, 24 women had this treatment. Their breasts were compared to those of women who just had a lumpectomy, without the mesh. All patients had radiotherapy after their surgery.

The results showed that the breasts of women who had the mesh looked almost as good as those who didn’t have the mesh. However, more of the women who had the mesh had side effects, such as skin redness, two weeks after surgery.

The researchers concluded that using Vicryl mesh straight after a lumpectomy doesn’t make the breast look better, and it increases the risk of side effects. It also delays the start of radiotherapy. They suggest that better materials need to be developed to improve the look of breasts after lumpectomy. No women in either group had their cancer come back in the same place.

FAQs

  1. What is the purpose of inserting Vicryl mesh after a lumpectomy?
  2. What side effects were observed in women who had the mesh inserted after their lumpectomy surgery?
  3. What was the conclusion of the researchers about the use of Vicryl mesh in improving the look of breasts after lumpectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about lumpectomy is to discuss with your surgeon the best options for breast reconstruction or cosmetic enhancement after the surgery. It’s important to weigh the potential benefits and risks of using materials like Vicryl mesh, and to consider alternative options that may provide a better outcome without increasing the risk of side effects. Additionally, be sure to follow post-operative care instructions carefully and attend all follow-up appointments to monitor your recovery and overall health.

Suitable For

Patients who are typically recommended lumpectomy include those with early-stage breast cancer, small tumors, and tumors that are not located close to the chest wall or nipple. Lumpectomy is often recommended for patients who wish to preserve as much of their breast tissue as possible and avoid a full mastectomy. Additionally, patients who have had a biopsy that shows cancerous cells in the breast may also be recommended for lumpectomy to remove the cancerous cells.

Timeline

Before lumpectomy:

  • Patient undergoes imaging tests such as mammograms and ultrasounds to diagnose breast cancer
  • Patient may undergo a biopsy to confirm cancer diagnosis
  • Patient discusses treatment options with their healthcare provider, including lumpectomy
  • Patient may undergo pre-operative tests and evaluations to ensure they are a good candidate for surgery

After lumpectomy:

  • Patient may experience pain, swelling, and bruising at the surgical site
  • Patient may have drains inserted to remove excess fluid from the surgical site
  • Patient may need to wear a surgical bra or compression garment for support
  • Patient may need to take pain medications and antibiotics as prescribed by their healthcare provider
  • Patient may need physical therapy to regain range of motion in the affected arm and shoulder
  • Patient may undergo radiation therapy to reduce the risk of cancer recurrence
  • Patient may have follow-up appointments with their healthcare provider to monitor healing and discuss any concerns or side effects.

What to Ask Your Doctor

  1. What is a lumpectomy and why is it recommended for my specific situation?
  2. What are the potential risks and side effects of a lumpectomy?
  3. What is Vicryl mesh and how does it work in the context of lumpectomy surgery?
  4. What are the potential benefits of using Vicryl mesh after a lumpectomy?
  5. What are the potential side effects or complications associated with using Vicryl mesh?
  6. How will using Vicryl mesh affect the look and feel of my breast after surgery?
  7. Will using Vicryl mesh affect the success of my radiotherapy treatment?
  8. Are there alternative materials or techniques that can be used to improve the look of my breast after lumpectomy?
  9. How long will it take for me to recover from surgery if Vicryl mesh is used?
  10. Are there any long-term effects or considerations I should be aware of if I choose to have Vicryl mesh inserted after my lumpectomy?

Reference

Authors: Tsuji W, Yotsumoto F. Journal: Asian J Surg. 2018 Nov;41(6):537-542. doi: 10.1016/j.asjsur.2017.08.001. Epub 2017 Aug 18. PMID: 28823414