Sharma, S., Van Barsel, S., Barry, M., Kell, R.M. (2016).
Eur J. Plast Surg. 40(1):17-22.
Implant based reconstruction (IBR) is the most common form of breast reconstruction.
IBR has advantages: uncomplicated surgery, no donor site and good aesthetic outcome.
Disadvantages include infection with implant loss and physical limitation to the size of breast which can be used.
Here we describe our initial experience using a resorbable mesh in post mastectomy patients.
Post mastectomy patients after cancer surgery or for risk reducing surgery were examined over a period of 18 months after undergoing reconstruction surgery with the use of resorbable mesh and implant based reconstruction. Patients were followed for complications including flap necrosis, implant loss, haematoma, seroma and infection rates.
Few major complications were encountered. There were no instances of flap necrosis or haematoma formation. However, 5 reconstructed breasts (n=74, 6.7%) resulted in loss of the implant due to infection. These losses were associated with patients who were current or ex-smokers, or in patients who were undergoing either radiation or chemotherapy. Minor complications such as superficial wound infections were seen in 8 out of 74 (10%) reconstructed breasts. The overall complication rate was 17.5% or 13 out of 74 reconstructed breasts.
The use of resorbable mesh provides excellent cosmetic outcomes with minimal complications. To avoid complications discretion should be used in patients with risk factors such as smoking and radiation therapy.