Titanium-coated mesh transforms breast reconstruction for cancer patients

“For a young, working woman who runs her own business, the prospect of losing both breasts poses significant emotional and physical challenges,” said Dr. Vijay V. Haribhakti, Chairperson of Oncology at the hospital. “Our goal was not only to eliminate the cancer but also to restore her self-confidence and enhance her quality of life.”

The reconstruction involved placing silicone breast implants inside a titanised mesh pocket, designed to support the implants and securely fixed to the fascia of the pectoralis major. This unique mesh stabilises the implant, preventing twisting or dislocation while allowing for natural shoulder movements. “The stretch-optimised design enhances recovery and promotes a natural range of motion,” added Dr. Haribhakti.

The titanised mesh pocket features a sleek, translucent appearance, closely resembling a finely woven fabric that seamlessly integrates with the surrounding tissue, providing both support and a natural look for the breast implant. It offers several advantages over traditional methods that often use biological materials from animal tissue. “We chose the titanised mesh primarily because it’s synthetic and not sourced from animal tissues,” said Dr. Haribhakti. “This eliminates the risk of allergic reactions, such as red breast syndrome, which can occur with biological meshes.”

The titanised mesh is exceptionally lightweight, weighing only one gram and measuring just two millimetres thick. Despite its minimal thickness, it is remarkably strong and integrates seamlessly with the body’s tissues, offering a stable solution for implant placement. Its hydrophilic surface, designed to match the body’s natural water content, minimises the risk of inflammation and complications. This biocompatible structure promotes tissue growth, reduces scarring, and results in a more natural feel and appearance.

Dr. Menon emphasised that this innovative approach eliminates the need for additional surgeries to harvest tissue from other parts of the body, significantly reducing recovery time. “The surgery was completed in just two and a half hours. The patient was discharged within four days and experienced no complications. In fact, her oncologist couldn’t even tell that she had undergone such extensive surgery because the reconstruction looked so natural,” he said.

This procedure was conducted in collaboration with Dr. Ashutosh Kothari, a Consultant in Oncoplastic and Reconstructive Breast Surgery at HN Reliance Hospital, who flew in from London, where he practises at Guy’s and St Thomas’ NHS Foundation.

The titanised mesh provides a durable solution, with no need for future replacements. “Titanium, used in surgeries for over 50 years, is known for its durability. Whether in knee or hip replacements, once integrated into the body, it becomes a permanent part of the structure,” said Dr. Haribhakti.

The estimated incidence and mortality rates of breast cancer among females in India show a troubling upward trend from 2013 to 2022. Incidences rose from 170,767 in 2013 to 216,108 in 2022, reflecting an increase of approximately 26.5%. Mortality rates also increased from 63,525 to 80,390, indicating a rising death toll that grew by around 26.5% during the same period, as per the Union Health Ministry.