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A biological or a synthetic mesh in immediate breast reconstruction? A cohort-study of long-term Health related Quality of Life (HrQoL)

Artikel i vetenskaplig tidskrift
Författare Håkan Hallberg
Anna Elander
Lars Kölby
Emma Hansson
Publicerad i European Journal of Surgical Oncology
Volym 45
Nummer/häfte 10
Sidor 1812-1816
ISSN 0748-7983
Publiceringsår 2019
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för plastikkirurgi
Sidor 1812-1816
Språk en
Länkar https://doi.org/10.1016/j.ejso.2019...
Ämnesord Acellular dermal matrix, Immediate breast reconstruction, Implant, Patient's satisfaction, Quality of life, Synthetic mesh, Tissue expander
Ämneskategorier Plastikkirurgi

Sammanfattning

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.

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