Håkan Hallberg1, Anna Elander2, Lars Kölby2, Emma Hansson3. 1. University of Gothenburg, The Sahlgrenska Academy, Department of Clinical Sciences, Department of Plastic and Reconsrtuctive Surgery, Sahlgrenska University Hospital, SE-413 45, Gothenburg, Sweden. Electronic address: hakan.p.hallberg@vgregion.se. 2. University of Gothenburg, The Sahlgrenska Academy, Department of Clinical Sciences, Department of Plastic and Reconsrtuctive Surgery, Sahlgrenska University Hospital, SE-413 45, Gothenburg, Sweden. 3. University of Gothenburg, The Sahlgrenska Academy, Department of Clinical Sciences, Department of Plastic and Reconsrtuctive Surgery, Sahlgrenska University Hospital, SE-413 45, Gothenburg, Sweden; Faculty of Medicine, Lund University, Lund, Sweden.
Abstract
OBJECTIVES: Meshes/matrices are commonly used in immediate breast reconstruction. There are few studies comparing biological and synthetic meshes and it is unknown what type of mesh gives the best long-term results. The aim of this study was to compare long-term health-related quality of life (HrQoL) and patient satisfaction in implant-based immediate breast reconstruction with a biological mesh (Surgisis®) with that of patients reconstructed with a synthetic mesh (TIGR ® Matrix Surgical Mesh). MATERIAL AND METHODS: Both cohorts were prospectively included and consecutively operated. Clinical data was collected. HrQoL was evaluated with EuroQoL-5 dimension - 3 levels questionnaire (EQ-5D-3L) and the Hospital Anxiety and Depression Scale (HADS) and the Breast-Q. RESULTS AND CONCLUSION: Seventy-one patients were operated on in the biological group and 49 in the synthetic group. The response rates were 75 and 84 per cent, respectively. Mean follow-up time was 74 months and 23 months, respectively. There were no statistical differences in satisfaction and quality of life between the two groups. Complications and radiation seem to lead to a lower satisfaction. Our findings could indicate that biological and synthetic meshes give an equal long-term result as regards patients' perceived quality of life.
OBJECTIVES: Meshes/matrices are commonly used in immediate breast reconstruction. There are few studies comparing biological and synthetic meshes and it is unknown what type of mesh gives the best long-term results. The aim of this study was to compare long-term health-related quality of life (HrQoL) and patient satisfaction in implant-based immediate breast reconstruction with a biological mesh (Surgisis®) with that of patients reconstructed with a synthetic mesh (TIGR ® Matrix Surgical Mesh). MATERIAL AND METHODS: Both cohorts were prospectively included and consecutively operated. Clinical data was collected. HrQoL was evaluated with EuroQoL-5 dimension - 3 levels questionnaire (EQ-5D-3L) and the Hospital Anxiety and Depression Scale (HADS) and the Breast-Q. RESULTS AND CONCLUSION: Seventy-one patients were operated on in the biological group and 49 in the synthetic group. The response rates were 75 and 84 per cent, respectively. Mean follow-up time was 74 months and 23 months, respectively. There were no statistical differences in satisfaction and quality of life between the two groups. Complications and radiation seem to lead to a lower satisfaction. Our findings could indicate that biological and synthetic meshes give an equal long-term result as regards patients' perceived quality of life.
Authors: M D Filipe; J M Simons; L Moeliker; L Waaijer; M R Vriens; P J van Diest; A J Witkamp Journal: Breast Cancer Date: 2020-11-12 Impact factor: 4.239