Clinical outcomes and patient satisfaction with the use of biological and synthetic meshes in one-stage implant-based breast reconstruction

Application of TiLOOP bra in implant‐based breast reconstruction is associated with decreased complication risk compared with other meshes: A systematic review and meta‐analysis

“…Moreover, the mesh thickness might relate to the incidence of seroma. 22,25 In this meta-analysis, we showed that the risks of seroma and infection using TiLOOP bra were significantly decreased, specifically in immediate reconstruction. Interestingly, in subgroup analysis, no significant seroma risk difference was observed between TiLOOP bra and PADM groups.…”

“…A total of 182 publications were identified in the first search, of which seven studies met our inclusion criteria and were eligible for the present meta-analysis (Table 1). 6,11,[21][22][23][24][25] There was one prospective randomized controlled study, 23 the other six were retrospective studies. 6,11,21,22,24,25 Among these studies, there were four studies of one-stage reconstruction comparing the complication risk between TiLOOP bra and ADM, 6,22,23,25 the other three included both one and two-stage reconstruction.…”

“…6,11,[21][22][23][24][25] There was one prospective randomized controlled study, 23 the other six were retrospective studies. 6,11,21,22,24,25 Among these studies, there were four studies of one-stage reconstruction comparing the complication risk between TiLOOP bra and ADM, 6,22,23,25 the other three included both one and two-stage reconstruction. 11,21 Of the seven studies, three were 3-arm studies, including two studies comparing TiLOOP bra versus ADM versus partially absorbable synthetic mesh, 21,24 and one study comparing TiLOOP bra versus ADM versus simple prosthesis.…”

“…6 However, only two studies in our analysis reported BREAST-Q scores, both with available Physical Well-Being scale of the BREAST-Q data. 11,22 The risk of bias assessment result was presented in Supplemental Table S2.…”

Are patients most satisfied with a synthetic or a biological mesh in dual-plane immediate breast reconstruction after 5 years? A randomized controlled trial comparing the two meshes in the same patient

“…There are four previous studies comparing PROMs in synthetic and biological mesh in partially muscle covered (dual plane) implant based IBR (Table 6). All of them are non-randomised cohort studies [34][35][36][37] and three of them are retrospective 34,35,37 . In the prospective study 36 , there is no information on the types of synthetic and biological meshes used.…”