Patient reported outcome measures (PROMs) in implant based mesh-supported breast reconstruction – early results of a multicenter prospective trial

Paepke, Stefan; Kiechle, Marion; Ankel, C; Faridi, Andreé; Schumacher, Carsten; Meiré, A; Mau, Christine; Untch, Michael; Baumann, Kristin; Gerber-Schäfer, C; Blohmer, JU; Malter, Wolfram; Dieterich, M.; Gerber, Bernd; Thill, Marc

doi:10.1055/s-0035-1550552

Cited by 2 publications

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“…Prospective studies investigating partially resorbable and non-resorbable synthetic meshes and human, and bovine and porcine ADMs with regard to complications and esthetic results have been presented and published. Patient satisfaction rates of 80 – 90% with regard to cosmetic appearance have been achieved together with acceptable complication rates 2 , 49 .…”

Section: Discussionmentioning

confidence: 90%

“…Zu teilresorbierbaren und nicht resorbierbaren synthetischen Netzen, den humanen, bovinen und porcinen ADMs sind prospektive Untersuchungen abgeschlossen u. v. a. bezüglich der Komplikationen und der ästhetischen Ergebnisse publiziert und präsentiert. Bezüglich des ästhetischen Ergebnisses wird eine Patientinnenzufriedenheit von 80 – 90% erreicht und darüber hinaus absolut akzeptable Komplikationsraten 2 , 49 .…”

Section: Ausblickunclassified

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Surgical Studies of Reconstructive Breast Surgery – An Overview of the Topics at the 2019 Annual Meeting of the Working Group for Reconstructive Surgery in Oncology-Gynecology

Paepke

Kiechle

Ankel

et al. 2019

Geburtshilfe Frauenheilkd

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This yearʼs annual AWOgyn meeting focused on studies of reconstructive breast surgery. As the majority of breast reconstructions are implant-based, most studies also focused on implant-based reconstruction. Since 2011, the guidelines have recommended using interposed mesh materials as support. The basic idea behind every type of material is to provide coverage and stabilization for the implant by constructing an “internal bra” which will create the appropriate implant shape and maintain the position, stability and flexibility of the implant. The Working Group for Reconstructive Surgery in Oncology-Gynecology (AWOgyn) has undertaken to analyze different materials with regard to indications, success rates and side effects as documented in registers, clinical assessments and study protocols. This has increased application safety and is expected to improve it even further in future. Prospective studies are being carried out to investigate issues such as the optimal material, optimal implant site and best cosmetic results. The first results for porcine and human acellular matrices and for partially resorbable titanium-coated synthetic polypropylene meshes are now available. In 2019, the AWOgyn working group will be launching further studies to evaluate a perforated acellular dermal matrix (Fortiva®), a titanium-coated implant pocket (TiLOOP® Bra Pocket) and a fully resorbable synthetic mesh (TIGR®mesh).

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Section: Discussionmentioning

confidence: 90%

Section: Ausblickunclassified

Surgical Studies of Reconstructive Breast Surgery – An Overview of the Topics at the 2019 Annual Meeting of the Working Group for Reconstructive Surgery in Oncology-Gynecology

Paepke

Kiechle

Ankel

et al. 2019

Geburtshilfe Frauenheilkd

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“…The authors of this discussion contribution also use synthetic meshes to cover prepectorally positioned implants just as frequently as ADMs and tissue matrices [23]. Similarly, some patients with epipectoral implant placement and Tiloop ® Bra coverage were included and evaluated in the PRO Bra-Trial [24,25]. Observations of possible complications and problems also arise from this experience in individual cases.…”

Section: Introductionmentioning

confidence: 99%

Prepectoral implant placement in plastic-reconstructive breast surgery – a contribution to the discussion

Paepke

Öhlinger

Klein

et al. 2018

Senologie - Zeitschrift für Mammadiagnostik und -therapie

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Implant-based breast reconstruction has gained a high and increasing level of importance both nationally and internationally in recent years and covers a wide spectrum of reconstruction techniques. The standard procedure in nipple-sparing subcutaneous mastectomies is currently performed by placing the implant into a subpectoral pocket beneath the pectoralis muscle. The use of implant-based reconstructive techniques with the need for internal support to reconstruct the inframammary fold, to cover the implant at the lower pole and to provide a stable but flexible implant position has become relevant and led to the introduction of heterologous materials such as acellular dermal matrices and synthetic meshes. Although the safety and aesthetics of this approach have produced good results, prepectoral techniques add a whole new dimension with the development of the next generation of acellular dermal matrices and, especially, titanised implant pockets created specifically for prepectoral implant placement 1 have brought about a renaissance in muscle-sparing reconstructive techniques. These preserve the natural anatomy, thereby avoiding the adverse effects associated with submuscular reconstruction, including preservation of full shoulder function, minimising postoperative pain and the risk of bleeding and haematoma, and animation deformities such as “jumping breast phenomenon”. A new method of implant-based breast reconstruction is therefore available and must be analysed regarding indications and benefits.

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Patient reported outcome measures (PROMs) in implant based mesh-supported breast reconstruction – early results of a multicenter prospective trial

Cited by 2 publications

References 0 publications

Surgical Studies of Reconstructive Breast Surgery – An Overview of the Topics at the 2019 Annual Meeting of the Working Group for Reconstructive Surgery in Oncology-Gynecology

Surgical Studies of Reconstructive Breast Surgery – An Overview of the Topics at the 2019 Annual Meeting of the Working Group for Reconstructive Surgery in Oncology-Gynecology

Prepectoral implant placement in plastic-reconstructive breast surgery – a contribution to the discussion

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