Nationwide Survey of the Use of Absorbable Mesh in Breast Surgery in Koreaopen access
- Authors
- Kim, KS[Kim, Ku Sang]; Park, MY[Park, Man Young]; Kim, WJ[Kim, Woo Jae]; Na, KY[Na, Kuk Young]; Jung, YS[Jung, Yong Sik]; Choi, YJ[Choi, Young Jin]; Park, YL[Park, Yong Lai]; Oh, SJ[Oh, Se-Jeong]; Shin, HJ[Shin, Hyuk-Jae]
- Issue Date
- Sep-2009
- Publisher
- KOREAN BREAST CANCER SOC
- Keywords
- Breast; Surgery; Surgical mesh
- Citation
- JOURNAL OF BREAST CANCER, v.12, no.3, pp.210 - 214
- Indexed
- SCIE
SCOPUS
KCI
OTHER
- Journal Title
- JOURNAL OF BREAST CANCER
- Volume
- 12
- Number
- 3
- Start Page
- 210
- End Page
- 214
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/77125
- DOI
- 10.4048/jbc.2009.12.3.210
- ISSN
- 1738-6756
- Abstract
- The aim of this study is to investigate the use of absorbable mesh in breast surgery in Korea. We conducted a survey from members of Korea Breast Cancer Society by phone, E-mail, and notice on the website from 6th to 20th April 2009. A total of 54 breast surgeons had responded to the survey. Of these, 40 surgeons (74.1%) had used absorbable mesh during breast surgery, with Vicryl mesh (R) being the choice of every surgeon and Interceed (R) having been used by 36 (90%) of the surgeons. In responding to the indications for mesh use, 26 surgeons (65%) indicated that mesh use was effective when a deformity was expected regardless of T stage. Contraindications for mesh use principally included existing patients' comorbidity such as a wound healing problem, diabetes mellitus and immunocompromised condition. Thirty one surgeons (77.5%) had experienced an infection in the mesh insertion site. However, on a case basis, only 39 of 843 cases (4.6%) had resulted in an infection. In the follow up after mesh use, 33 of the 37 responding surgeons (89.2%) used breast ultrasonography. Nineteen of the 38 respondents (50%) replied that the mesh was absorbed in 6 months and it did not confuse diagnostic imaging. The cited merits of mesh included maintenance of breast shape following surgery (n=38/49, 77.6%) and ease of surgical use (n=35/49, 71.4%). However, the high price of mesh was cited as a disadvantage by 33 of the 48 respondents (68.8%). In summary, survey results mentioned above show that surgical mesh use in breast surgery is increasing by times and the procedures greatly varies by surgeons. Thereby, we suggest that a guideline for mesh use should be made in the near future.
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