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TiLoop Bra Assisted Breast Reconstruction - Our Experience
Chirurgia (Bucharest, Romania : 1990)
|May 8, 2021
Summary
Titanized mesh (TiLoop Bra) significantly reduced complications in breast reconstruction by covering the lower pole. This method offers a safer alternative to previous techniques, lowering adverse events in oncologic breast surgeries.
Area of Science:
- Oncology
- Plastic and Reconstructive Surgery
- Biomaterials
Background:
- Immediate breast reconstruction often requires additional lower pole coverage.
- Previous methods like epidermal flaps and acellular dermal matrices (ADM) had high complication rates (20-35%), primarily due to circulatory issues.
- Titanized mesh (TiLoop Bra) was introduced in 2018 as an alternative for lower pole coverage.
Purpose of the Study:
- To evaluate the efficacy and complication rates of using titanized mesh (TiLoop Bra) for lower pole coverage in immediate breast reconstruction.
- To compare outcomes with historical data using other coverage methods.
Main Methods:
- A retrospective analysis of 103 immediate breast reconstructions using TiLoop Bra mesh from July 2018 to April 2019.
- All patients underwent surgery for malignant breast tumors, including unilateral and bilateral breast carcinoma.
- Patient cohorts included those receiving neoadjuvant therapy (74), adjuvant therapy (31), and radiation therapy (17).
Main Results:
- Overall complication rates significantly decreased compared to previous methods.
- Specific complication rates included: complete loss of breast implant and mesh endoprosthesis (5.88%), capsular contracture (17.65%), mesh removal due to pain (5.88%), and "red breast" syndrome (5.88%).
Conclusions:
- Titanized mesh (TiLoop Bra) is an effective and safe option for lower pole coverage in immediate breast reconstruction.
- This method demonstrates a significant reduction in overall complications, offering an improved outcome for patients undergoing oncologic breast surgery.
