目的:描述牛心包网(Tutopatch®)在乳房重建中的用途和优势,并比较直接乳房重建中使用的不同网状材料。
方法:我们的研究涉及单中心,回顾性分析103例(包括114例乳房)使用牛心包牛基质行即刻植入乳房重建的患者。该手术由同一手术团队在2018年4月至2023年5月期间进行。
结果:在中位随访时间为30.2±5.5个月后检查早期和晚期并发症的发生率。结果显示,早期并发症的发生率为9.7%,而在14.5%的病例中观察到晚期并发症。最常见的晚期并发症是血清肿形成(7.7%),其中6例无需任何手术干预即可解决。
结论:Tutopatch®可用作肌肉的延伸以覆盖假体。它在硅胶植入物上形成额外的层,有助于减少包膜挛缩和植入物暴露等并发症。当与类似尺寸的网状材料相比时,它还代表成本显著降低85%。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
OBJECTIVE: To describe the usage and advantages of bovine pericardium mesh (Tutopatch®) in breast reconstruction and to compare different mesh materials used in immediate breast reconstruction.
METHODS: Our study involved a single-center, retrospective analysis of 103 patients (comprising 114 breasts) who underwent immediate implant-based breast reconstruction using bovine pericardium bovine matrix. The procedures were performed by the same surgical team between April 2018 and May 2023.
RESULTS: The rates of early and late complications were examined after a median follow-up period of 30.2 ± 5.5 months. The results revealed that the rates of early complications stood at 9.7%, while late complications were observed in 14.5% of the cases. The most common late complication was seroma formation (7.7%) which six were resolved without any surgical intervention.
CONCLUSIONS: Tutopatch® can be used as an extension of the muscle to cover the prosthesis. It forms an extra layer over the silicone implant that helps to decrease the complications as capsular contracture and implant exposure. It also represents a significant 85 % reduction in cost when compared to a similar-sized mesh materials.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .