Objectives: Meshes/matrices are commonly used in immediate breast reconstruction. There are few studies comparing biological and synthetic meshes and it is unknown what type of mesh gives the best long-term results. The aim of this study was to compare long-term health-related quality of life (HrQoL) and patient satisfaction in implant-based immediate breast reconstruction with a biological mesh (Surgisis ®
) with that of patients reconstructed with a synthetic mesh (TIGR
... (More)
Objectives: Meshes/matrices are commonly used in immediate breast reconstruction. There are few studies comparing biological and synthetic meshes and it is unknown what type of mesh gives the best long-term results. The aim of this study was to compare long-term health-related quality of life (HrQoL) and patient satisfaction in implant-based immediate breast reconstruction with a biological mesh (Surgisis ®
) with that of patients reconstructed with a synthetic mesh (TIGR ®
Matrix Surgical Mesh). Material and methods: Both cohorts were prospectively included and consecutively operated. Clinical data was collected. HrQoL was evaluated with EuroQoL-5 dimension – 3 levels questionnaire (EQ-5D-3L) and the Hospital Anxiety and Depression Scale (HADS) and the Breast-Q. Results and conclusion: Seventy-one patients were operated on in the biological group and 49 in the synthetic group. The response rates were 75 and 84 per cent, respectively. Mean follow-up time was 74 months and 23 months, respectively. There were no statistical differences in satisfaction and quality of life between the two groups. Complications and radiation seem to lead to a lower satisfaction. Our findings could indicate that biological and synthetic meshes give an equal long-term result as regards patients’ perceived quality of life.
@article{2095bab1-d8cd-42c8-90bd-a093988105dc,
abstract = {{<p><br>
Objectives: Meshes/matrices are commonly used in immediate breast reconstruction. There are few studies comparing biological and synthetic meshes and it is unknown what type of mesh gives the best long-term results. The aim of this study was to compare long-term health-related quality of life (HrQoL) and patient satisfaction in implant-based immediate breast reconstruction with a biological mesh (Surgisis <br>
<sup>®</sup><br>
) with that of patients reconstructed with a synthetic mesh (TIGR <br>
<sup>®</sup><br>
Matrix Surgical Mesh). Material and methods: Both cohorts were prospectively included and consecutively operated. Clinical data was collected. HrQoL was evaluated with EuroQoL-5 dimension – 3 levels questionnaire (EQ-5D-3L) and the Hospital Anxiety and Depression Scale (HADS) and the Breast-Q. Results and conclusion: Seventy-one patients were operated on in the biological group and 49 in the synthetic group. The response rates were 75 and 84 per cent, respectively. Mean follow-up time was 74 months and 23 months, respectively. There were no statistical differences in satisfaction and quality of life between the two groups. Complications and radiation seem to lead to a lower satisfaction. Our findings could indicate that biological and synthetic meshes give an equal long-term result as regards patients’ perceived quality of life. <br>
</p>}},
author = {{Hallberg, Håkan and Elander, Anna and Kölby, Lars and Hansson, Emma}},
issn = {{0748-7983}},
keywords = {{Acellular dermal matrix; Immediate breast reconstruction; Implant; Patient's satisfaction; Quality of life; Synthetic mesh; Tissue expander}},
language = {{eng}},
month = {{03}},
number = {{10}},
pages = {{1812--1816}},
publisher = {{Elsevier}},
series = {{European Journal of Surgical Oncology}},
title = {{A biological or a synthetic mesh in immediate breast reconstruction? A cohort-study of long-term Health related Quality of Life (HrQoL)}},
url = {{http://dx.doi.org/10.1016/j.ejso.2019.03.013}},
doi = {{10.1016/j.ejso.2019.03.013}},
volume = {{45}},
year = {{2019}},
}
