Risks and Benefits of Using an Absorbable Mesh in One-Stage Immediate Breast Reconstruction

Ganz, Oanna Meyer; Tobalem, Mickaël; Perneger, Thomas; Lam, Thanh; M, Ali; Elias, Badwi; Pittet, Brigitte

doi:10.1097/prs.0000000000001027

Cited by 31 publications

(29 citation statements)

References 38 publications

(42 reference statements)

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“… 16 In 2015, Ganz et al published a study comparing direct-to-implant reconstruction using either a submuscular pocket (46 breasts) or a partial subpectoral pocket with Vicryl mesh extension (115 breasts), and found that use of absorbable mesh was superior to total submuscular coverage, along with a low complication rate and low revision rate. 17 A systematic review in 2015 of the peer-reviewed literature on breast reconstruction with Vicryl mesh showed a low complication rate and significant cost savings. 18 Recently, prepectoral reconstruction has been performed with nonabsorbable mesh, with success (2018).…”

Section: Discussionmentioning

confidence: 99%

The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review

Faulkner

Shikowitz-Behr

McLeod

et al. 2020

Plastic &Amp; Reconstructive Surgery

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Background: Breast reconstruction is most frequently performed using implants or expanders. Adjunctive materials such as acellular dermal matrix and synthetic meshes are used to support the implant or expander. A paucity of large studies exist on the use of synthetic mesh for breast reconstruction. Methods: A retrospective chart review of all patients over the past 7 years who had implant reconstruction with synthetic absorbable mesh at the Massachusetts General Hospital was performed. Data were collected on demographic and surgical outcomes. Statistical analysis was performed. Results: A total of 227 patients (376 mastectomies) were treated with direct-to-implant subpectoral reconstruction with absorbable mesh from 2011 to 2017. The infection rate was 2.1 percent. The rate of capsular contracture was 4.8 percent. Patients who had radiation therapy either preoperatively or postoperatively had a higher rate of complications, including capsular contracture. Cost savings for using mesh instead of acellular dermal matrix surpassed $1.2 million. Conclusion: Synthetic absorbable mesh is a safe alternative to acellular dermal matrix in prosthetic breast reconstruction and provides stable results along with significant cost savings. Clinical Question/Level of Evidence: Therapeutic, IV.

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Section: Discussionmentioning

confidence: 99%

The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review

Faulkner

Shikowitz-Behr

McLeod

et al. 2020

Plastic &Amp; Reconstructive Surgery

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show abstract

“…Due to the formation of a new tissue layer, whose cells grow out through the pores of the mesh implant are surrounded by patients' own tissue. The frequency of postoperative complications when performing onestep breast reconstruction after subcutaneous mastectomy with mesh implant and silicone implant is not higher than the one observed during other types of reconstruction [33][34][35], which allows to implement this method.…”

Section: Introductionmentioning

confidence: 99%

Implant-Based Breast Cancer Reconstruction With Biological Matric or Synthetic Mesh

Ермощенкова¹,

Чиссов²,

Usov³

et al. 2017

Voprosy rekonstruktivnoy i plasticheskoy khirurgii

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Вопросы реконструктивной и пластической хирургии № 2 (61) июнь'2017 of injury, blood loss, and surgery time, as well as assumes no defects of donor zones. The paper presents the review of publications and results obtained by the authors. Material and methods. Since 2013 till 2016, specialists of the P. Herzen Moscow Oncology Research Institute made 104 one-time breast cancer reconstructions with the use of mesh implants in 80 cases, acellular dermal matrix in 24 cases after radical skin-sparing or subcutaneous mastectomy. Average age of patients was 47.2 years. Stage 0 breast cancer was diagnosed in 2% of cases, I-30%, IIA-33%, IIB-16%, IIIA-15%, IIIB-2%, IIIC-2%. Titanium mesh implants were used in 12 patients, and polyester 3D mesh implants were applied in 68 cases. The size of silicone implants varied from 120 to 585 cm 3 depended on anatomic features of chest wall and breast constitution. Results. Cosmetic results were considered as excellent in 67.3% of cases, good in 19.2% of cases, satisfactory in 7.7% of cases, and poor in 5.8% of cases. The frequency of removal of silicone implant was 5.8% when titanium mesh implant was used and 0% for the polyester 3D mesh implant. Seroma was diagnosed in 1.9% of cases with the use of acellular dermal matrix and in 2.9% with the use of titanium mesh implant. Nipple-areola necrosis was observed in 1.9% of cases with the use of titanium mesh implant. Infection of implant site was observed in 2.9% of cases. Capsular contracture developed in 5.8% of cases after application of radiotherapy to the reconstructed breast. Conclusions. Biological and synthetic materials form a significant alternative to existing ways of breast reconstruction and, in many cases, adequate replacement of autologous muscular flaps at the proper selection of patients.

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“…Breast cancer is the most common cancer among women 1 . According to the World Health Organization (WHO), more than 1,050,000 new cases occur per year worldwide.…”

Section: Introductionmentioning

confidence: 99%

Assessment of immediate symmetrization in breast reconstruction

Cammarota¹,

Galdino²,

Lima³

et al. 2017

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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Risks and Benefits of Using an Absorbable Mesh in One-Stage Immediate Breast Reconstruction

Abstract: Therapeutic, III.

Cited by 31 publications

References 38 publications

The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review

The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review

Implant-Based Breast Cancer Reconstruction With Biological Matric or Synthetic Mesh

Assessment of immediate symmetrization in breast reconstruction

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