Advanced

A biological or a synthetic mesh in immediate breast reconstruction? A cohort-study of long-term Health related Quality of Life (HrQoL)

Hallberg, Håkan ; Elander, Anna ; Kölby, Lars and Hansson, Emma LU (2019) In European Journal of Surgical Oncology 45(10). p.1812-1816
Abstract


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.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acellular dermal matrix, Immediate breast reconstruction, Implant, Patient's satisfaction, Quality of life, Synthetic mesh, Tissue expander
in
European Journal of Surgical Oncology
volume
45
issue
10
pages
1812 - 1816
publisher
Elsevier
external identifiers
  • pmid:30905394
  • scopus:85063109666
ISSN
0748-7983
DOI
10.1016/j.ejso.2019.03.013
language
English
LU publication?
yes
id
2095bab1-d8cd-42c8-90bd-a093988105dc
date added to LUP
2019-03-29 12:26:08
date last changed
2020-10-20 01:21:11
@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},
  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},
}