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TIGR matrix surgical mesh - a two-year follow-up study and complication analysis in 65 immediate breast reconstructions

Hallberg, Håkan ; Lewin, Richard ; Elander, Anna and Hansson, Emma LU (2018) In Journal of Plastic Surgery and Hand Surgery 52(4). p.253-258
Abstract

In recent years, it has become increasingly popular to use matrices, such as acellular dermal matrices, in implant-based breast reconstruction. To lower the cost and to avoid implanting biological material, the use of synthetic meshes has been proposed. This is the first study examining TIGR® Mesh in a larger series of immediate breast reconstruction. The aims of the study were to examine complications and predictors for complications. All consecutive patients operated on with breast reconstruction with TIGR® Matrix Surgical Mesh and tissue expanders (TEs) or permanent implant between March 2015 and September 2016 in our department were prospectively included. Exclusion criteria were ongoing smoking, BMI (kg/m2) > 30, planned... (More)

In recent years, it has become increasingly popular to use matrices, such as acellular dermal matrices, in implant-based breast reconstruction. To lower the cost and to avoid implanting biological material, the use of synthetic meshes has been proposed. This is the first study examining TIGR® Mesh in a larger series of immediate breast reconstruction. The aims of the study were to examine complications and predictors for complications. All consecutive patients operated on with breast reconstruction with TIGR® Matrix Surgical Mesh and tissue expanders (TEs) or permanent implant between March 2015 and September 2016 in our department were prospectively included. Exclusion criteria were ongoing smoking, BMI (kg/m2) > 30, planned postoperative radiation, and inability to leave informed consent. Fifteen breasts (23%) were affected by complications within 30 d: four (6.2%) major complications and eleven (17%) minor complications. The major complications included two implant losses and one pulmonary embolism (PE). Predictors for a complication were age over 51 years, BMI over 24.5 kg/m2, large resection weight, and the need for a wise pattern excision of skin. Four minor surgical complications occurred after 30 d (minimum follow-up 17 months). There were no implant losses. In addition, minor aesthetic corrections, such as dog-ear resection, were performed in 10 breasts. In conclusion, breast reconstruction with a TE in combination with TIGR® Matrix Surgical Mesh can be performed with a low complication rate.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
in
Journal of Plastic Surgery and Hand Surgery
volume
52
issue
4
pages
253 - 258
publisher
Taylor & Francis
external identifiers
  • scopus:85048090078
  • pmid:29874964
ISSN
2000-656X
DOI
10.1080/2000656X.2018.1478841
language
English
LU publication?
no
id
697dd84d-5312-4598-9960-c3f47efe414c
date added to LUP
2018-06-23 07:54:53
date last changed
2024-08-06 19:43:00
@article{697dd84d-5312-4598-9960-c3f47efe414c,
  abstract     = {{<p>In recent years, it has become increasingly popular to use matrices, such as acellular dermal matrices, in implant-based breast reconstruction. To lower the cost and to avoid implanting biological material, the use of synthetic meshes has been proposed. This is the first study examining TIGR® Mesh in a larger series of immediate breast reconstruction. The aims of the study were to examine complications and predictors for complications. All consecutive patients operated on with breast reconstruction with TIGR® Matrix Surgical Mesh and tissue expanders (TEs) or permanent implant between March 2015 and September 2016 in our department were prospectively included. Exclusion criteria were ongoing smoking, BMI (kg/m2) &gt; 30, planned postoperative radiation, and inability to leave informed consent. Fifteen breasts (23%) were affected by complications within 30 d: four (6.2%) major complications and eleven (17%) minor complications. The major complications included two implant losses and one pulmonary embolism (PE). Predictors for a complication were age over 51 years, BMI over 24.5 kg/m2, large resection weight, and the need for a wise pattern excision of skin. Four minor surgical complications occurred after 30 d (minimum follow-up 17 months). There were no implant losses. In addition, minor aesthetic corrections, such as dog-ear resection, were performed in 10 breasts. In conclusion, breast reconstruction with a TE in combination with TIGR® Matrix Surgical Mesh can be performed with a low complication rate.</p>}},
  author       = {{Hallberg, Håkan and Lewin, Richard and Elander, Anna and Hansson, Emma}},
  issn         = {{2000-656X}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{4}},
  pages        = {{253--258}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Plastic Surgery and Hand Surgery}},
  title        = {{TIGR matrix surgical mesh - a two-year follow-up study and complication analysis in 65 immediate breast reconstructions}},
  url          = {{http://dx.doi.org/10.1080/2000656X.2018.1478841}},
  doi          = {{10.1080/2000656X.2018.1478841}},
  volume       = {{52}},
  year         = {{2018}},
}