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Handchir Mikrochir Plast Chir 2022; 54(04): 269-278
DOI: 10.1055/a-1830-8217
Übersichtsarbeit

Der Stellenwert von synthetischen Netzen und biologischen Matrices in der Implantat-basierten Brustrekonstruktion

The Value of Synthetic and Biologic Meshes in Implant-Based Breast Reconstruction
Andrea Weinzierl 
1   Institut für Klinisch-Experimentelle Chirurgie, Universität des Saarlandes, Homburg/Saar, Deutschland
,
Daniel Schmauss
2   Klinik für Plastische, Rekonstruktive und Ästhetische Chirurgie, Ospedale Regionale di Lugano (ORL), Ente Ospedaliero Cantonale (EOC), Lugano, Schweiz
3   Fakultät der Biomedizinischen Wissenschaften, Università della Svizzera Italiana, Lugano, Schweiz
,
Yves Harder
2   Klinik für Plastische, Rekonstruktive und Ästhetische Chirurgie, Ospedale Regionale di Lugano (ORL), Ente Ospedaliero Cantonale (EOC), Lugano, Schweiz
3   Fakultät der Biomedizinischen Wissenschaften, Università della Svizzera Italiana, Lugano, Schweiz
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Zusammenfassung

Die Implantat-basierte Brustrekonstruktion (IBBR) entwickelt sich stetig weiter und hat insbesondere durch den steigenden Einsatz synthetischer Netze und biologischer Matrices in den letzten Jahren neue Impulse bekommen. Der Einsatz solcher Netze und Matrices in der subpektoralen und präpektoralen IBBR hat durch eine verbesserte Platzierung und Weichteildeckung der verwendeten Implantate zu niedrigeren Komplikationsraten und guten ästhetischen Ergebnissen geführt. Inzwischen hat eine große Zahl verschiedener biologischer Matrices und synthetischer Netze Eingang in die klinische Nutzung gefunden, die sich in Material, Prozessierung, Größe und Kosten unterscheiden. Ziel dieser Übersichtsarbeit ist es, diese Netze in den Kontext der rekonstruktiven Brustchirurgie einzuordnen und einen Überblick über die Vor- und Nachteile bei deren Einsatz zu geben.

Abstract

Implant based breast reconstruction (IBBR) keeps evolving and has been influenced heavily by the use of synthetic and biologic meshes in the last years. In both, subpectoral as well as prepectoral approaches the use of synthetic and biologic meshes has made it possible to place implants precisely according to the breast’s footprint and strengthen soft-tissue coverage, particularly in the lower pole of the breast with lower complication rates and better cosmesis. Various mesh options that differ in material, processing, size and cost are currently in clinical use. This review aims to define the role of biologic and synthetic meshes in IBBR regarding the advantages and disadvantages of their use.

Schlüsselwörter

synthetische Netze - biologische Netze (azelluläre dermale Matrices) - Implantat-basierte Brustrekonstruktion - Brustkrebs - Mastektomie

Keywords

synthetic mesh - biologic mesh (acellular dermal matrix) - implant-based breast reconstruction - breast cancer - mastectomy


Publication History

Received: 06 December 2021

Accepted: 05 April 2022

Article published online:
09 August 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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