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TIGR (R) matrix surgical mesh - a two-year follow-up study and complication analysis in 65 immediate breast reconstructions

Journal article
Authors Håkan Hallberg
Richard Lewin
Anna Elander
Emma Hansson
Published in Journal of Plastic Surgery and Hand Surgery
Volume 52
Issue 4
Pages 253-258
ISSN 2000-656X
Publication year 2018
Published at Institute of Clinical Sciences, Department of Plastic Surgery
Institute of Clinical Sciences
Pages 253-258
Language en
Links dx.doi.org/10.1080/2000656x.2018.14...
Keywords Breast reconstruction, breast, ADM, acellular dermal matrix, capsule formation, surgery, decreases, implants, outcomes, cost, risk, Orthopedics, Surgery
Subject categories Orthopedics, Surgery

Abstract

In recent years, it has become increasingly popular to use matrices, such as acellular dermal matrices, in implant-based breast reconstruction. To lower the cost and to avoid implanting biological material, the use of synthetic meshes has been proposed. This is the first study examining TIGR((R)) Mesh in a larger series of immediate breast reconstruction. The aims of the study were to examine complications and predictors for complications. All consecutive patients operated on with breast reconstruction with TIGR((R)) Matrix Surgical Mesh and tissue expanders (TEs) or permanent implant between March 2015 and September 2016 in our department were prospectively included. Exclusion criteria were ongoing smoking, BMI (kg/m(2))>30, planned postoperative radiation, and inability to leave informed consent. Fifteen breasts (23%) were affected by complications within 30d: four (6.2%) major complications and eleven (17%) minor complications. The major complications included two implant losses and one pulmonary embolism (PE). Predictors for a complication were age over 51 years, BMI over 24.5kg/m(2), large resection weight, and the need for a wise pattern excision of skin. Four minor surgical complications occurred after 30d (minimum follow-up 17months). There were no implant losses. In addition, minor aesthetic corrections, such as dog-ear resection, were performed in 10 breasts. In conclusion, breast reconstruction with a TE in combination with TIGR((R)) Matrix Surgical Mesh can be performed with a low complication rate.

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