TIGR® Matrix Mesh in breast reconstruction - a single unit experience
Association of Breast Surgery ePoster Library. Irwin G. 05/15/17; 166329; P046
Mr. Gareth Irwin
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Abstract
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Introduction
Current guidelines recommend offering immediate reconstruction following mastectomy. Good cosmesis can be achieved with a one-stage submuscular implant based technique, but coverage of the lower pole for support and to maintain the inframammary fold is required. A range is available but these can be expensive and are not without complications. This unit is amongst the first in the UK to use TIGR matrix mesh.
Methods
TIGR matrix is made from synthetic reabsorbable polymers and is intended to provide support for 6-9 month and reabsorb completely by 3 years. TIGR has been used in this unit over the last two years and follow up data recorded prospectively.
Results
From June 2014 until Dec 2016 TIGR matrix mesh has been used in 63 patients (mean age 45.9 years, 27-73) for 94 breasts. 44 meshes were used for immediate implant reconstruction following therapeutic skin-sparing mastectomy alone. 27 involved an additional axillary procedure (22 SLNB, 5 ANC). 20 were used in immediate reconstruction following risk-reducing mastectomy and 3 in salvage procedures. Implant volume ranged from 140cc to 640cc. Current follow-up data ranges from 30 months to 14 days. Complications at 30 days, include one return to theatre for evacuation of haematoma with no long-term consequences. At 90 days 77% of the breasts had settled with no long-term sequelae and good cosmetic outcome. 2 implants were salvaged with no long-term effects. Three wound scars needed revised and the implant was lost from 11 breasts.
Conclusions
TIGR matrix mesh is a novel product with versatile uses. These longer-term results are favourable in terms of cosmesis and complication rates. Follow up continues and will be updated.
Current guidelines recommend offering immediate reconstruction following mastectomy. Good cosmesis can be achieved with a one-stage submuscular implant based technique, but coverage of the lower pole for support and to maintain the inframammary fold is required. A range is available but these can be expensive and are not without complications. This unit is amongst the first in the UK to use TIGR matrix mesh.
Methods
TIGR matrix is made from synthetic reabsorbable polymers and is intended to provide support for 6-9 month and reabsorb completely by 3 years. TIGR has been used in this unit over the last two years and follow up data recorded prospectively.
Results
From June 2014 until Dec 2016 TIGR matrix mesh has been used in 63 patients (mean age 45.9 years, 27-73) for 94 breasts. 44 meshes were used for immediate implant reconstruction following therapeutic skin-sparing mastectomy alone. 27 involved an additional axillary procedure (22 SLNB, 5 ANC). 20 were used in immediate reconstruction following risk-reducing mastectomy and 3 in salvage procedures. Implant volume ranged from 140cc to 640cc. Current follow-up data ranges from 30 months to 14 days. Complications at 30 days, include one return to theatre for evacuation of haematoma with no long-term consequences. At 90 days 77% of the breasts had settled with no long-term sequelae and good cosmetic outcome. 2 implants were salvaged with no long-term effects. Three wound scars needed revised and the implant was lost from 11 breasts.
Conclusions
TIGR matrix mesh is a novel product with versatile uses. These longer-term results are favourable in terms of cosmesis and complication rates. Follow up continues and will be updated.
Introduction
Current guidelines recommend offering immediate reconstruction following mastectomy. Good cosmesis can be achieved with a one-stage submuscular implant based technique, but coverage of the lower pole for support and to maintain the inframammary fold is required. A range is available but these can be expensive and are not without complications. This unit is amongst the first in the UK to use TIGR matrix mesh.
Methods
TIGR matrix is made from synthetic reabsorbable polymers and is intended to provide support for 6-9 month and reabsorb completely by 3 years. TIGR has been used in this unit over the last two years and follow up data recorded prospectively.
Results
From June 2014 until Dec 2016 TIGR matrix mesh has been used in 63 patients (mean age 45.9 years, 27-73) for 94 breasts. 44 meshes were used for immediate implant reconstruction following therapeutic skin-sparing mastectomy alone. 27 involved an additional axillary procedure (22 SLNB, 5 ANC). 20 were used in immediate reconstruction following risk-reducing mastectomy and 3 in salvage procedures. Implant volume ranged from 140cc to 640cc. Current follow-up data ranges from 30 months to 14 days. Complications at 30 days, include one return to theatre for evacuation of haematoma with no long-term consequences. At 90 days 77% of the breasts had settled with no long-term sequelae and good cosmetic outcome. 2 implants were salvaged with no long-term effects. Three wound scars needed revised and the implant was lost from 11 breasts.
Conclusions
TIGR matrix mesh is a novel product with versatile uses. These longer-term results are favourable in terms of cosmesis and complication rates. Follow up continues and will be updated.
Current guidelines recommend offering immediate reconstruction following mastectomy. Good cosmesis can be achieved with a one-stage submuscular implant based technique, but coverage of the lower pole for support and to maintain the inframammary fold is required. A range is available but these can be expensive and are not without complications. This unit is amongst the first in the UK to use TIGR matrix mesh.
Methods
TIGR matrix is made from synthetic reabsorbable polymers and is intended to provide support for 6-9 month and reabsorb completely by 3 years. TIGR has been used in this unit over the last two years and follow up data recorded prospectively.
Results
From June 2014 until Dec 2016 TIGR matrix mesh has been used in 63 patients (mean age 45.9 years, 27-73) for 94 breasts. 44 meshes were used for immediate implant reconstruction following therapeutic skin-sparing mastectomy alone. 27 involved an additional axillary procedure (22 SLNB, 5 ANC). 20 were used in immediate reconstruction following risk-reducing mastectomy and 3 in salvage procedures. Implant volume ranged from 140cc to 640cc. Current follow-up data ranges from 30 months to 14 days. Complications at 30 days, include one return to theatre for evacuation of haematoma with no long-term consequences. At 90 days 77% of the breasts had settled with no long-term sequelae and good cosmetic outcome. 2 implants were salvaged with no long-term effects. Three wound scars needed revised and the implant was lost from 11 breasts.
Conclusions
TIGR matrix mesh is a novel product with versatile uses. These longer-term results are favourable in terms of cosmesis and complication rates. Follow up continues and will be updated.
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