Senologie - Zeitschrift für Mammadiagnostik und -therapie 2021; 18(02): e25
DOI: 10.1055/s-0041-1730198
Abstracts
Senologie

Mesh-pocket supported prepectoral direct-to-implant breast reconstruction: Preliminary results of a prospective analysis

S Paepke
1   Klinikum rechts der Isar, Technische Universität München, Klinik und Poliklinik für Frauenheilkunde, München, Deutschland
,
E Klein
1   Klinikum rechts der Isar, Technische Universität München, Klinik und Poliklinik für Frauenheilkunde, München, Deutschland
,
A Andrulat
2   Rotkreuzklinikum München, München, Deutschland
,
C Ankel
3   DRK Kliniken Berlin Westend Brustzentrum, Berlin, Deutschland
,
L Bauer
4   GRN Klinik Weinheim, Zertifiziertes Brustzentrum, Weinheim, Deutschland
,
A Faridi
5   Uniklinikum Bonn, Bonn, Deutschland
,
V Fink
6   Uniklinikum Ulm, Ulm, Deutschland
,
C Gerber-Schäfer
7   Vivantes Klinikum Berlin, Berlin, Deutschland
,
D Gschwantler-Kaulich
8   Ordinationszentrum PK Döbling, Wien, Österreich
,
J Heil
9   Uniklinikum Heidelberg, Heidelberg, Deutschland
,
S Kümmel
10   Kliniken Essen-Mitte, Essen, Deutschland
,
R Ohlinger
11   Uniklinikum Greifswald, Greifswald, Deutschland
,
M Thill
12   Agaplesion Markus Krankenhaus, Frankfurt/Main, Deutschland
› Author Affiliations
› Further Information
Also available at
 
 

    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.


    #

    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

    © 2021. Thieme. All rights reserved.

    Georg Thieme Verlag KG
    Rüdigerstraße 14, 70469 Stuttgart, Germany