Breast Cancer Center, Kepler University Clinic, Linz, Austria
The use of acellular dermal or synthetic matrices has improved the functional and cosmetic outcome of implant-based breast reconstruction [1–4]. The new materials provide a scaffold for patient tissue ingrowth and act comparable to an internal supportive bra to provide support for the implant and allow reconstruction of larger breast volumes, a more pronounced ptosis and control of the infra-mammary fold [1–4]. However, there are major concerns related to the higher complication rates associated with the use of matrices resulting in reconstructive failure, the lack of prospective studies and long-time follow-up [5–7].
Additionally, the costs of the matrix will become a major factor for most hospitals and insurance companies in the future .
A new long-term absorbable surgical matrix, TIGR Matrix mesh was used in a total of 29 patients undergoing a total of 37 mastectomies and immediate reconstruction. Although the follow-up was short the TIGR Matrix mesh fulfills many desired characteristics and requirements for a matrix for use in implant-based breast reconstruction and is a promising new alternative to acellular, dermal or other synthetic matrices currently available.