The Use of TIGR Matrix in Breast Aesthetic and Reconstructive Surgery

S, Pompei; Evangelidou, Dora; Arelli, Floriana; Ferrante, Gianluigi

doi:10.1016/j.cps.2017.08.005

Cited by 24 publications

(12 citation statements)

References 32 publications

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“…A similar rate of complications with the same material was stated by Pompei et al, with 11.6% of the patients requiring revisional surgery but with removal of the mesh only in 3.3% of them. These authors found that this mesh caused low seroma (3.6%) and infection rates (1.6%) when compared with other nonreabsorbable or semiresorbable synthetic meshes, but also this study has a low quality of evidence [46]. A recent abstract reports on 34 patients reconstructed with TIGR Matrix encountered 9% cases with infections, 9% with necrosis, 5.9% with seromas, and 3% with reoperations [47].…”

Section: Discussionmentioning

confidence: 83%

Synthetic Mesh in Immediate Breast Reconstruction

Gómez-Modet¹,

Tejedor²

2020

Breast Cancer and Breast Reconstruction

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The use of biological matrices in immediate implant-based breast reconstruction arose with the need to reinforce the lower pole of the breast and to cover the implant to reduce the risk of implant exposure. Synthetic mesh appears to be a lower cost alternative to biological matrices. This literature review aims to assess the usefulness of the use of synthetic meshes in breast reconstruction compared with the traditional techniques and whether outcomes and complications of synthetic meshes and biological matrices are comparable. The positioning of the implants and meshes, either submuscular or subcutaneous, has also been considered.

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Section: Discussionmentioning

confidence: 83%

Synthetic Mesh in Immediate Breast Reconstruction

Gómez-Modet¹,

Tejedor²

2020

Breast Cancer and Breast Reconstruction

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“…The reason why the authors chose to use a synthetic mesh in this study is that several papers already reported successful use of this material when associated to silicone implants in human beings [11][12][13][14][15][16][17][18][19][20][21][22][23][24] .…”

Section: Discussionmentioning

confidence: 99%

“…According to some authors, a capsular contracture with clinical symptoms is related to local inflammatory activity [8][9][10] . Several studies have successfully evaluated the use of meshes during breast reconstruction with implants [11][12][13][14][15][16][17][18][19][20][21][22][23][24] . However, the histological behavior of Parietex Composite® (Covidien, Boulder, United States) associated with silicone implants is not known.…”

Section: Introductionmentioning

confidence: 99%

Histological evaluation of capsules formed by texturized silicone implants with and without polyester mesh coverage (Parietex®). A study on female rats

Berger

Filho²,

Malafaia

et al. 2021

Acta Cir. Bras.

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To evaluate capsules formed by microtextured silicone implants with and without Parietex® mesh coverage histologically. Methods: Sixty Wistar rats were divided in two groups (meshed and unmeshed). Each group was, then, divided into two subgroups for evaluation at 30 and 90 days. Capsules were analyzed based on hematoxylin and eosin (HE) and picrosirius staining. Results: The number of fibroblasts, neutrophils and macrophages was similar among all subgroups. There was a higher lymphocyte reaction in the 30-day meshed group (p = 0.003). Giant cell reaction, granulation tissue and neoangiogenesis were similar among the subgroups. Synovial metaplasia was milder at 90-day in the unmeshed (p = 0.002) and meshed group (p < 0.001). Capsular thickness was significantly greater in the meshed samples (30-day p < 0.001 and 90-day p < 0.001). There was a similar amount of collagen types I and III in both groups. Conclusions: The mesh-covered implants produced capsules similar to the microtextured ones when analyzing inflammatory variables. Synovial metaplasia was milder at 90 than at 30 days, and the capsular thickness was significantly greater in the meshed group. A similar amount of collagen types I and III was observed. Due to these characteristics, the mesh coverage did not seem to significantly affect the local inflammatory activity.

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“…41 The two largest TIGR studies, both with 49 patients, reported 23.1% and 23.3% rates of overall complications. 24,42 Currently, there is only one study of P4HB (Phasix) mesh in breast reconstruction, reporting a 14.5% overall complication rate and 11.2% infection rate, although more studies are ongoing. 43 Considering these benchmarks, we found a favorable safety profile for PDO mesh in prosthetic breast reconstruction, which warrants further study on long-term efficacy and safety with increasing surgeon experience.…”

Section: Benchmarking Mesh Complications In Prepectoral Breast Recons...mentioning

confidence: 99%

“…and Phasix, Bard Davol Inc., Warwick, R.I.). [23][24][25] As the armamentarium of available meshes grows, understanding the implications of mesh design, manufacture, and clinical outcomes will help surgeons select the optimal mesh for their patients.…”

Section: Introductionmentioning

confidence: 99%

Early Clinical Outcomes of Polydioxanone Mesh for Prepectoral Prosthetic Breast Reconstruction

Qiu

Seth

2022

Plastic and Reconstructive Surgery - Global Open

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Background: Many biologic matrices and synthetic meshes are available as adjuncts for prosthetic and autologous breast reconstructions to help control implant position and to reinforce abdominal flap donor sites. Absorbable synthetic meshes may have advantages over biologic matrices and permanent meshes, such as lower cost and better long-term biocompatibility. We present a prospective case series of patients undergoing two-stage, prepectoral breast reconstruction with polydioxanone (PDO) mesh. Methods: This prospective, consecutive single-surgeon series of patients who received PDO mesh during two-stage, prepectoral breast reconstruction involved incorporation of the PDO mesh at stage 1 as an anterior tarp over the tissue expander. A detailed description of surgical technique is provided herein. Surgical complications monitored included surgical site infection, wound dehiscence, mastectomy skin flap necrosis, hematoma or seroma requiring operative intervention, and reconstructive failure. Results: Seven patients with fourteen breast reconstructions were included in the study. All patients had unilateral cancer and underwent bilateral mastectomies with immediate reconstruction. The average age of patient was 50.0 (SD 7.4) and BMI was 29.3 (SD 2.7). Patients were followed for a median of 274 days, during which only one late infection (7.1%) occurred requiring expander removal. Conclusions: PDO mesh has an acceptable short-term complication rate in two-stage prepectoral prosthetic breast reconstruction. Future investigations should elucidate its comparative efficacy and safety against alternative products with respect to long-term outcomes.

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The Use of TIGR Matrix in Breast Aesthetic and Reconstructive Surgery

Cited by 24 publications

References 32 publications

Synthetic Mesh in Immediate Breast Reconstruction

Synthetic Mesh in Immediate Breast Reconstruction

Histological evaluation of capsules formed by texturized silicone implants with and without polyester mesh coverage (Parietex®). A study on female rats

Early Clinical Outcomes of Polydioxanone Mesh for Prepectoral Prosthetic Breast Reconstruction

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