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Implant-Based Breast Reconstruction with Bovine Pericardium: Our Approach Using Tutopatch® and Review of Literature

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  • Breast Surgery
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Abstract

Objectives

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.

Conclusion

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.

Level of Evidence IV

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.

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Author information

Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Arel University Faculty of Medicine, Bahcelievler Memorial Hospital, Bahcelievler Mah. Adnan Kahveci Bulvari no: 227, 34180, Bahcelievler, Istanbul, Turkey

    Atilla Adnan Eyuboglu

  2. Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Aydın University, Istanbul, Turkey

    Ovunc Akdemir

  3. Department of Breast Surgery, General Surgery, Bahcelievler Memorial Hospital, Istanbul, Turkey

    Fatih Aydogan

  4. Department of Plastic and Reconstructive Surgery, Bahcesehir University Faculty of Medicine, Bahcelievler Memorial Hospital, Istanbul, Turkey

    Mustafa Tonguc Isken

Authors
  1. Atilla Adnan Eyuboglu
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  2. Ovunc Akdemir
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  3. Fatih Aydogan
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  4. Mustafa Tonguc Isken
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Correspondence to Atilla Adnan Eyuboglu.

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The authors declare that they have no conflicts of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Written informed consent form is obtained from the patients.

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This paper was presented in ISAPS 2022 World Congress, Istanbul, Turkey.

Supplementary Information

Below is the link to the electronic supplementary material.

Video 1: Immediate breast reconstruction using parachute sutures (MP4 8445 kb)

Video 2: Tutopatch® was attached to the IMF first to provide support to the lower pole (MP4 12500 kb)

Video 3: Excess bovine pericardium was used to make a double layer over the muscle (MP4 8054 kb)

Video 4: A 14x20 cm bovine pericardium in being meshed and split into two equal halves (MP4 7316 kb)

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Eyuboglu, A.A., Akdemir, O., Aydogan, F. et al. Implant-Based Breast Reconstruction with Bovine Pericardium: Our Approach Using Tutopatch® and Review of Literature. Aesth Plast Surg 48, 285–296 (2024). https://doi.org/10.1007/s00266-023-03732-1

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