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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Reconstructive breast surgery with partially absorbable bi-component Seragyn® BR soft mesh: an outcome analysis
Anna Machleidt1, Nora Schmidt-Feuerheerd2, Jens-Uwe Blohmer1
1Breast Center, Charité-Universitätsmedizin, Charitéplatz 1, 10117, Berlin, Germany.
Archives of Gynecology and Obstetrics
|August 8, 2018
Summary
The SERAGYN® BR soft mesh shows successful outcomes in breast reconstruction, with complication rates comparable to other meshes. Key factors influencing reconstructive failure include wound complications and patient characteristics.
Area of Science:
- Plastic Surgery
- Surgical Oncology
- Biomaterials Science
Background:
- Synthetic meshes and acellular dermal matrices are common in implant-based breast reconstruction.
- The partially absorbable bi-component soft mesh SERAGYN® BR is increasingly utilized.
Purpose of the Study:
- To determine the incidence and severity of complications associated with SERAGYN® BR mesh implantation.
- To identify risk factors for adverse outcomes in breast reconstruction using SERAGYN® BR.
Main Methods:
- A retrospective study involving 148 breast reconstruction surgeries across four German institutions (June 2012 - February 2014).
- Analysis of outcomes based on tumor characteristics, patient factors, prior treatments, and use of alloplastic materials.
Main Results:
- Successful implantation of SERAGYN® BR in 131 (88.5%) of 148 operations.
- Reconstructive failure rate was 11.5%. Common complications included seroma (25.7%), hematoma (14.2%), and skin infection (14.2%).
- Independent predictors for failure included wound-healing issues, necrosis, infections, high tissue excision volume, hematomas, seromas, and sentinel lymph node excision. Higher BMI correlated with increased infection rates.
Conclusions:
- SERAGYN® BR mesh is a viable option for successful breast reconstructive surgery.
- Complication and reconstructive failure rates are comparable to those of other synthetic or biological meshes.
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