Titanium-coated polypropylene mesh for immediate implant-based breast reconstruction - Our Initial experience
Association of Breast Surgery ePoster Library. Munir A. 05/15/17; 166208; P152
Dr. Asma Munir
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Abstract
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Background: The use of titanium-coated polypropylene mesh (TCPM) is an alternative to a-cellular dermal matrix for the implant based breast reconstruction by providing extra implant coverage especially in the lower half. The aim of our study was to analyze short-term outcomes of TCPM based implant breast reconstruction and compare the patient- and procedure-related factors to implant loss and surgical complications.
Methods: Between September 2013and September 2016, implant breast reconstructions after conservative mastectomies using TCMP was performed in 27 patients (with 33 reconstructions). Complications were divided into major (need for additional surgery), minor (conservative treatment), and implant loss. Univariate analyses were performed to determine the influence of the patient- and procedure-related factors on postoperative complications and implant loss.
Results: Thirty-three mastectomies with reconstructions were performed in 27 women. Twenty six patients had therapeutic mastectomies with 6 of them also had contra lateral risk reducing mastectomies. With median follow-up of 17.5 months, four of 32 patients had implant loss. Reasons for implant loss were skin necrosis in 2 cases, infection in 1 case and necrosis with infection in another case. One of these patients had a revised reconstruction one year later. One additional patient required implant replacement because of capsule contracture. No risk factors were observed for patient-associated complications. Univariate analysis revealed an increased risk for implant loss in patients with skin necrosis (p < 0.01).
Conclusions: This titanium-coated polypropylene mesh shows acceptable complication rates and its use in immediate implant breast reconstruction is safe and effective.
Methods: Between September 2013and September 2016, implant breast reconstructions after conservative mastectomies using TCMP was performed in 27 patients (with 33 reconstructions). Complications were divided into major (need for additional surgery), minor (conservative treatment), and implant loss. Univariate analyses were performed to determine the influence of the patient- and procedure-related factors on postoperative complications and implant loss.
Results: Thirty-three mastectomies with reconstructions were performed in 27 women. Twenty six patients had therapeutic mastectomies with 6 of them also had contra lateral risk reducing mastectomies. With median follow-up of 17.5 months, four of 32 patients had implant loss. Reasons for implant loss were skin necrosis in 2 cases, infection in 1 case and necrosis with infection in another case. One of these patients had a revised reconstruction one year later. One additional patient required implant replacement because of capsule contracture. No risk factors were observed for patient-associated complications. Univariate analysis revealed an increased risk for implant loss in patients with skin necrosis (p < 0.01).
Conclusions: This titanium-coated polypropylene mesh shows acceptable complication rates and its use in immediate implant breast reconstruction is safe and effective.
Background: The use of titanium-coated polypropylene mesh (TCPM) is an alternative to a-cellular dermal matrix for the implant based breast reconstruction by providing extra implant coverage especially in the lower half. The aim of our study was to analyze short-term outcomes of TCPM based implant breast reconstruction and compare the patient- and procedure-related factors to implant loss and surgical complications.
Methods: Between September 2013and September 2016, implant breast reconstructions after conservative mastectomies using TCMP was performed in 27 patients (with 33 reconstructions). Complications were divided into major (need for additional surgery), minor (conservative treatment), and implant loss. Univariate analyses were performed to determine the influence of the patient- and procedure-related factors on postoperative complications and implant loss.
Results: Thirty-three mastectomies with reconstructions were performed in 27 women. Twenty six patients had therapeutic mastectomies with 6 of them also had contra lateral risk reducing mastectomies. With median follow-up of 17.5 months, four of 32 patients had implant loss. Reasons for implant loss were skin necrosis in 2 cases, infection in 1 case and necrosis with infection in another case. One of these patients had a revised reconstruction one year later. One additional patient required implant replacement because of capsule contracture. No risk factors were observed for patient-associated complications. Univariate analysis revealed an increased risk for implant loss in patients with skin necrosis (p < 0.01).
Conclusions: This titanium-coated polypropylene mesh shows acceptable complication rates and its use in immediate implant breast reconstruction is safe and effective.
Methods: Between September 2013and September 2016, implant breast reconstructions after conservative mastectomies using TCMP was performed in 27 patients (with 33 reconstructions). Complications were divided into major (need for additional surgery), minor (conservative treatment), and implant loss. Univariate analyses were performed to determine the influence of the patient- and procedure-related factors on postoperative complications and implant loss.
Results: Thirty-three mastectomies with reconstructions were performed in 27 women. Twenty six patients had therapeutic mastectomies with 6 of them also had contra lateral risk reducing mastectomies. With median follow-up of 17.5 months, four of 32 patients had implant loss. Reasons for implant loss were skin necrosis in 2 cases, infection in 1 case and necrosis with infection in another case. One of these patients had a revised reconstruction one year later. One additional patient required implant replacement because of capsule contracture. No risk factors were observed for patient-associated complications. Univariate analysis revealed an increased risk for implant loss in patients with skin necrosis (p < 0.01).
Conclusions: This titanium-coated polypropylene mesh shows acceptable complication rates and its use in immediate implant breast reconstruction is safe and effective.
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