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DOI: 10.1055/s-0041-1730198
Mesh-pocket supported prepectoral direct-to-implant breast reconstruction: Preliminary results of a prospective analysis
Introduction Safety and breast aesthetics of direct-to-implant techniques are well recognized. Pre-pectoral techniques add a new dimension supported by the next generation of titanized mesh-pockets.
Material and method A prospective international, multicentre observational investigation (PRO-Pocket-Trial CLINICALTRIALS.GOV NCT03868514 and DRKS00016673) is performed in 12 clinical centres in Germany and Austria to obtain data regarding patient reported outcome, cosmetic outcome and complications after TiLOOP® Bra Pocket supported prepectoral breast reconstruction up to the 24 months Follow-Up.
Results From 06/2019 until 02/2021, 313 patients with TiLOOP® Bra Pocket supported breast reconstructions were included. Mean BMI was 24.5 ± 4.5 kg/m2. Unilateral surgery was performed in about 40 % and bilateral in 60 %. The most frequent incision technique was an inframammary incision followed by inverted T-technique. About 70 % of the breast implants were of anatomic shape; textured surface was also reported in about 75 % of the reconstructions. None of the reported complications was unexpected.
Discussion Use of TiLOOP® Bra Pocket enables a new standard of pre-pectoral reconstructive techniques preserving the natural anatomy, thereby avoiding adverse effects associated with submuscular reconstruction, minimizing postoperative pain, risk of bleeding and hematoma, and the lack of animation deformity like “jumping breast phenomenon”. Pocket-supported reconstructive techniques become more valuable in times of changing to implants with smooth surface due to the excellent stabilization of implant position.
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Interessenkonflikt
Stefan Paepke:Beratungstätigkeit, Reisekosten, Unterstützung wiss. Veranstaltungen Grünenthal Sysmex Endomag, Cambridge KCI/3M pfm medical ag Becton&Dickinson/Bard Neodynamics, Schweden Invitrocue, EuropeGmBH NovusScientific, Schweden Triconmed Roche.
Publication History
Article published online:
01 June 2021
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