TIGR matrix surgical mesh - a two-year follow-up study and complication analysis in 65 immediate breast reconstructions
(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
- Hallberg, Håkan ; Lewin, Richard ; Elander, Anna and Hansson, Emma LU
- publishing date
- 2018-06-07
- 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) > 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}}, }