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Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction : a case-control study with a 6-year follow-up

Hallberg, Håkan ; Lewin, Richard ; Søfteland, Madiha Bhatti ; Widmark-Jensen, Emmelie ; Kogler, Ulrika ; Lundberg, Jonas and Hansson, Emma LU (2019) In European Journal of Plastic Surgery 42(1). p.33-42
Abstract

Background: Matrices are now commonly used in breast reconstruction, but the scientific evidence is still scares. The main aim was to compare complications and the need for corrections in immediate breast reconstruction with the porcine-derived Surgisis® with the traditional muscle-covered technique. The secondary aim was to compare long-term quality of life and satisfaction. Methods: All consecutive patients who had their breast reconstructed with a Surgisis® or muscle-covered tissue expander/implant were included. Patients were followed clinically and with BREAST-Q. Results: During the study period, 116 reconstructions (71 patients) were operated in the Surgisis® group and 132 reconstructions (90... (More)

Background: Matrices are now commonly used in breast reconstruction, but the scientific evidence is still scares. The main aim was to compare complications and the need for corrections in immediate breast reconstruction with the porcine-derived Surgisis® with the traditional muscle-covered technique. The secondary aim was to compare long-term quality of life and satisfaction. Methods: All consecutive patients who had their breast reconstructed with a Surgisis® or muscle-covered tissue expander/implant were included. Patients were followed clinically and with BREAST-Q. Results: During the study period, 116 reconstructions (71 patients) were operated in the Surgisis® group and 132 reconstructions (90 patients) in the control group. The median follow-up time was 74 months (min 43–max 162). The total early complication rate was 37% in the Surgisis® group and 27% in the control group. There were no differences in implant loss (p = 0.68) or total number of complications (p = 0.24) between the two groups. Risk factors for complications were mainly patient characteristics and the use of a tissue expander. There was a slightly higher capsular contracture frequency in the Surgisis® patients (4.2% vs. 2.5%). The need for corrections and patient satisfaction and quality of life were similar in the two groups. Conclusions: The use of Surgisis® in implant-based reconstruction seems to result in an acceptable total early complication rate. The rate might be higher in tissue expander-based reconstruction. Risk factors are mainly patient characteristics. The capsular contracture rate and need for corrections, as well as patient satisfaction and quality of life, are similar in the Surgisis® patients and muscle-covered controls. Level of evidence: III.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ADM, BREAST-Q, Complication, Immediate breast reconstruction, Implant, Long-term follow-up, Matrix, Mesh, Patient satisfaction, Quality of life, Surgisis, Tissue expander
in
European Journal of Plastic Surgery
volume
42
issue
1
pages
33 - 42
publisher
Springer
external identifiers
  • scopus:85051812706
ISSN
0930-343X
DOI
10.1007/s00238-018-1444-x
language
English
LU publication?
yes
id
ff4b7813-25eb-475e-89b4-5db63c9e3f0f
date added to LUP
2018-09-13 11:44:31
date last changed
2020-01-22 07:13:11
@article{ff4b7813-25eb-475e-89b4-5db63c9e3f0f,
  abstract     = {<p>Background: Matrices are now commonly used in breast reconstruction, but the scientific evidence is still scares. The main aim was to compare complications and the need for corrections in immediate breast reconstruction with the porcine-derived Surgisis<sup>®</sup> with the traditional muscle-covered technique. The secondary aim was to compare long-term quality of life and satisfaction. Methods: All consecutive patients who had their breast reconstructed with a Surgisis<sup>®</sup> or muscle-covered tissue expander/implant were included. Patients were followed clinically and with BREAST-Q. Results: During the study period, 116 reconstructions (71 patients) were operated in the Surgisis<sup>®</sup> group and 132 reconstructions (90 patients) in the control group. The median follow-up time was 74 months (min 43–max 162). The total early complication rate was 37% in the Surgisis<sup>®</sup> group and 27% in the control group. There were no differences in implant loss (p = 0.68) or total number of complications (p = 0.24) between the two groups. Risk factors for complications were mainly patient characteristics and the use of a tissue expander. There was a slightly higher capsular contracture frequency in the Surgisis<sup>®</sup> patients (4.2% vs. 2.5%). The need for corrections and patient satisfaction and quality of life were similar in the two groups. Conclusions: The use of Surgisis<sup>®</sup> in implant-based reconstruction seems to result in an acceptable total early complication rate. The rate might be higher in tissue expander-based reconstruction. Risk factors are mainly patient characteristics. The capsular contracture rate and need for corrections, as well as patient satisfaction and quality of life, are similar in the Surgisis<sup>®</sup> patients and muscle-covered controls. Level of evidence: III.</p>},
  author       = {Hallberg, Håkan and Lewin, Richard and Søfteland, Madiha Bhatti and Widmark-Jensen, Emmelie and Kogler, Ulrika and Lundberg, Jonas and Hansson, Emma},
  issn         = {0930-343X},
  language     = {eng},
  number       = {1},
  pages        = {33--42},
  publisher    = {Springer},
  series       = {European Journal of Plastic Surgery},
  title        = {Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction : a case-control study with a 6-year follow-up},
  url          = {http://dx.doi.org/10.1007/s00238-018-1444-x},
  doi          = {10.1007/s00238-018-1444-x},
  volume       = {42},
  year         = {2019},
}