How to do an immediate prepectoral implant reconstruction with the TiLoop bra pocket

Ng, Ian E.; Elder, Elisabeth; French, James

doi:10.1111/ans.15516

Cited by 4 publications

(4 citation statements)

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“…Our technique for immediate prepectoral implant reconstruction using the TiLOOP Bra Pocket has been described in detail elsewhere 24 . All patients underwent a nipple‐sparing mastectomy through an inframammary or lateral mammary incision.…”

Section: Methodsmentioning

confidence: 99%

“…The mesh was either premade as a pocket (TiLOOP Bra Pocket) or fashioned intraoperatively by the surgeon using two pieces of TiLOOP Bra. The mesh and implant were secured in place using absorbable tacks in a novel modification of this technique 24 . Superior, medial and lateral tacks were applied and a 15‐F Blake drain was positioned within the cavity.…”

Section: Methodsmentioning

confidence: 99%

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Immediate prepectoral implant reconstruction using TiLOOP Bra Pocket results in improved patient satisfaction over dual plane reconstruction

Quah

Graham

et al. 2021

ANZ Journal of Surgery

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Background Implant‐based reconstruction accounts for the majority of breast reconstructive procedures performed in Australia. More recently, immediate prepectoral implant reconstruction using the TiLOOP Bra Pocket has gained popularity. This study compares post‐surgical complications and patient‐reported quality of life outcomes between immediate prepectoral and dual plane implant reconstruction. Methods A retrospective study of 80 consecutive patients who underwent nipple‐sparing mastectomies and immediate implant reconstruction was conducted. Implants were either completely covered with TiLOOP Bra and/or TiLOOP Bra Pocket (pfm medical, Cologne, Germany) and secured in the prepectoral space (prepectoral group) or placed in the subpectoral plane with inferolateral mesh coverage (dual plane group). Data surrounding patient demographics, clinical details and post‐surgical outcomes were compared. Patient‐related quality of life outcomes were assessed with the Breast‐Q questionnaire. Results A total of 80 patients (109 breasts) operated on between June 2016 and December 2018 were included. The prepectoral and dual plane groups comprised of 40 patients each, including 50 and 59 operated breasts, respectively. Post‐operative complications were comparable with 11 (22%) overall complications in the prepectoral group and eight (14%) in the dual plane group (P = 0.313). Implant loss was uncommon with four (8%) cases in the prepectoral group and five (8.5%) in the dual plane group (P = 0.929). Patient‐reported quality of life outcomes were superior after prepectoral reconstruction with patients reporting a significantly higher score in the satisfaction with breasts domain (68.9 versus 57.5; P = 0.036). Conclusion Immediate prepectoral implant reconstruction with the TiLOOP Bra Pocket was associated with improved patient satisfaction and demonstrated no difference in early post‐operative outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Immediate prepectoral implant reconstruction using TiLOOP Bra Pocket results in improved patient satisfaction over dual plane reconstruction

Quah

Graham

et al. 2021

ANZ Journal of Surgery

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“…[12]), имея целью не подменить высокую адгезивную способность полиуретанового покрытия протеза, но укрепить ее [24]. При применении же TiLOOP ® Bra Pocket ввиду самой конструкции СПИ во время ОПР неизбежно происходит интерпозиция задней части СПИ между эндопротезом и большой грудной мышцей [16,25].…”

Section: опухоли женской репродуктивной системы Tumors Of Female Repr...unclassified

One-stage prepectoral reconstruction with “heavy” polypropylene mesh implant support in breast cancer surgery

Rovenskih

Усов

2023

Opuholi ženskoj reproduktivnoj sistemy

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Background. One-stage prepectoral implant-based reconstruction (OSPIBR) using biocompatible synthetic meshes support gained wide popularity in breast cancer surgery. Optimal structure of polypropylene mesh implants (PMI) and methods of its application are actively discussed.Aim. To study the effectiveness and safety of prosthesis support with “heavy” PMI in OSPIBR. Materials and methods. During 2019-2021 18 OSPIBR with "heavy" PMI support were performed after subcutaneous mastectomies in 14 patients. Cancer was indication for surgery in 13 cases (two of them - with BRCA1 mutation) and BRCA1 mutation solely - in 1 case. Foamed polyurethane covered silicone prosthesis (Polytech, Germany) was used for OSPIBR and "heavy" PMI PROLENE™ Polypropylene Mesh (Ethicon/Johnson & Johnson, USA) for prosthesis support by original method.Results. The overall complication rate was 5.6 % (1/18). It was a minor complication: limited aseptic skin necrosis along incision edge, successfully excised under local anesthesia. No cancer recurrences or capsular contracture formation were registrated during follow-up (6 months). The cosmetic outcome (Harvard score) was excellent in 11 of them and good in 3.Conclusions. "Heavy" PMI application by original technique in OSPIBR after subcutaneous mastectomy for breast cancer is a safe and effective method of prosthesis support.

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“…Immediate implant-based reconstruction (IBBR) techniques have emerged in recent years, leading to a paradigm change in breast reconstruction worldwide. The usage of prepectoral acellular dermal matrix (ADM) or mesh-covered breast reconstruction have regained popularity, avoiding the detachment of the pectoralis major 1 and thus eliminating phenomena such as postoperative pain, animation deformity and loss of function 2,3 . Convincing cosmetic results have been described and speak in favour of prepectoral breast reconstruction (PBR) 1,4,5 .…”

Section: Introductionmentioning

confidence: 99%

Prepectoral implant-based breast reconstruction with TiLOOP® Bra Pocket – a single-centre retrospective study

Nguyen-Sträuli¹,

Vorburger²,

Frauchiger-Heuer³

et al. 2022

Journal of Plastic, Reconstructive & Aesthetic Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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How to do an immediate prepectoral implant reconstruction with the TiLoop bra pocket

Abstract: How to perform an immediate prepectoral implant reconstruction with the TiLoop bra pocket.

Cited by 4 publications

References 10 publications

Immediate prepectoral implant reconstruction using TiLOOP Bra Pocket results in improved patient satisfaction over dual plane reconstruction

Immediate prepectoral implant reconstruction using TiLOOP Bra Pocket results in improved patient satisfaction over dual plane reconstruction

One-stage prepectoral reconstruction with “heavy” polypropylene mesh implant support in breast cancer surgery

Prepectoral implant-based breast reconstruction with TiLOOP® Bra Pocket – a single-centre retrospective study

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