Beyond Biologics: Absorbable Mesh as a Low-Cost, Low-Complication Sling for Implant-Based Breast Reconstruction

There is an intense push to decrease overall healthcare costs in the United States. Although the use of acellular dermal matrix in implant-based reconstruction has grown significantly over the past decade, potential drawbacks remain a source of debate. Matrices are costly and not universally availab...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Plastic and reconstructive surgery (1963) 2014-02, Vol.133 (2), p.90e-99e
Hauptverfasser: Tessler, Oren, Reish, Richard G., Maman, Daniel Y., Smith, Barbara L., Austen, William G.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 99e
container_issue 2
container_start_page 90e
container_title Plastic and reconstructive surgery (1963)
container_volume 133
creator Tessler, Oren
Reish, Richard G.
Maman, Daniel Y.
Smith, Barbara L.
Austen, William G.
description There is an intense push to decrease overall healthcare costs in the United States. Although the use of acellular dermal matrix in implant-based reconstruction has grown significantly over the past decade, potential drawbacks remain a source of debate. Matrices are costly and not universally available across institutions, whereas Vicryl mesh is widely available, relatively inexpensive, and resistant to bacteria biofilm formation. With the intent of maximizing the reconstructive and economic advantages of direct-to-implant breast reconstruction, the authors report the first experience in the literature using an absorbable mesh as an inferolateral sling. A retrospective review was performed of the first 50 consecutive patients (76 reconstructions) who underwent implant-based breast reconstruction with Vicryl mesh from August of 2011 until June of 2012. Fifty patients underwent 76 direct-to-implant reconstructions with Vicryl mesh between August of 2011 and June of 2012 (mean follow-up, 1.2 years). Five breasts (6.6 percent) had complications, with only one complication resulting in implant loss (1.3 percent). Implant positioning and contour were excellent, with only two patients [three breasts (3.9 percent)] undergoing revision procedures, for size enlargement. Using costs available at the authors' institution, use of Vicryl mesh instead of acellular dermal matrix resulted in a direct material cost savings of $172,112 in 10 months. Results to date have been encouraging, with a low complication rate (6.6 percent) and excellent aesthetic results. The technique has resulted in $172,112 in direct material cost savings over 10 months. Continued follow-up is planned to evaluate long-term results. Therapeutic, IV.
doi_str_mv 10.1097/01.prs.0000437253.55457.63
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1492696097</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1492696097</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3073-f8cd7907f5610418c5ea7f4984384d36e13918e6e2cc7967f98e0a875a8a414b3</originalsourceid><addsrcrecordid>eNpFkEtvEzEURi0EoqHwF5DFikVn8Nvj7pqIR6UgJB5ry-PcaQYm4-A7o6j_HqcJrTe2P5372TqEvOOs5szZD4zX-4w1K0tJK7SstVba1kY-IwuuhauUUOI5WTAmRcWZFhfkFeJvxriVRr8kF0Ip4wS3C5KWcJ_GDV32aUh3fcRretNiym1oB6BfAbc0IA10nQ7VKuF0dT7t9kMfw9Snkf4Y-vGOdinT25KGcaqWAaFUZgg40e8Q04hTnuORfk1edGFAeHPeL8mvTx9_rr5U62-fb1c36ypKZmXVNXFjHbOdNpwp3kQNwXbKNUo2aiMNcOl4AwZEjNYZ27kGWGisDk1QXLXykrw_9e5z-jsDTn7XY4Sh_A_SjJ4rJ4wzRWdBr09ozAkxQ-f3ud-FfO8580fhnvESoX8S7h-EeyPL8NvzO3O7g83j6H_DBVAn4JCGCTL-GeYDZL-FMEzbh0qjpaoE44qJcquOkZT_AFgnjAQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1492696097</pqid></control><display><type>article</type><title>Beyond Biologics: Absorbable Mesh as a Low-Cost, Low-Complication Sling for Implant-Based Breast Reconstruction</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Tessler, Oren ; Reish, Richard G. ; Maman, Daniel Y. ; Smith, Barbara L. ; Austen, William G.</creator><creatorcontrib>Tessler, Oren ; Reish, Richard G. ; Maman, Daniel Y. ; Smith, Barbara L. ; Austen, William G.</creatorcontrib><description>There is an intense push to decrease overall healthcare costs in the United States. Although the use of acellular dermal matrix in implant-based reconstruction has grown significantly over the past decade, potential drawbacks remain a source of debate. Matrices are costly and not universally available across institutions, whereas Vicryl mesh is widely available, relatively inexpensive, and resistant to bacteria biofilm formation. With the intent of maximizing the reconstructive and economic advantages of direct-to-implant breast reconstruction, the authors report the first experience in the literature using an absorbable mesh as an inferolateral sling. A retrospective review was performed of the first 50 consecutive patients (76 reconstructions) who underwent implant-based breast reconstruction with Vicryl mesh from August of 2011 until June of 2012. Fifty patients underwent 76 direct-to-implant reconstructions with Vicryl mesh between August of 2011 and June of 2012 (mean follow-up, 1.2 years). Five breasts (6.6 percent) had complications, with only one complication resulting in implant loss (1.3 percent). Implant positioning and contour were excellent, with only two patients [three breasts (3.9 percent)] undergoing revision procedures, for size enlargement. Using costs available at the authors' institution, use of Vicryl mesh instead of acellular dermal matrix resulted in a direct material cost savings of $172,112 in 10 months. Results to date have been encouraging, with a low complication rate (6.6 percent) and excellent aesthetic results. The technique has resulted in $172,112 in direct material cost savings over 10 months. Continued follow-up is planned to evaluate long-term results. Therapeutic, IV.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/01.prs.0000437253.55457.63</identifier><identifier>PMID: 24469217</identifier><language>eng</language><publisher>United States: American Society of Plastic Surgeons</publisher><subject>Absorbable Implants - adverse effects ; Absorbable Implants - economics ; Adult ; Aged ; Biocompatible Materials ; Breast Implantation - adverse effects ; Breast Implantation - economics ; Breast Implantation - methods ; Costs and Cost Analysis ; Female ; Humans ; Middle Aged ; Postoperative Complications - etiology ; Postoperative Complications - prevention &amp; control ; Retrospective Studies ; Surgical Mesh - adverse effects ; Surgical Mesh - economics</subject><ispartof>Plastic and reconstructive surgery (1963), 2014-02, Vol.133 (2), p.90e-99e</ispartof><rights>American Society of Plastic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3073-f8cd7907f5610418c5ea7f4984384d36e13918e6e2cc7967f98e0a875a8a414b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24469217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tessler, Oren</creatorcontrib><creatorcontrib>Reish, Richard G.</creatorcontrib><creatorcontrib>Maman, Daniel Y.</creatorcontrib><creatorcontrib>Smith, Barbara L.</creatorcontrib><creatorcontrib>Austen, William G.</creatorcontrib><title>Beyond Biologics: Absorbable Mesh as a Low-Cost, Low-Complication Sling for Implant-Based Breast Reconstruction</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>There is an intense push to decrease overall healthcare costs in the United States. Although the use of acellular dermal matrix in implant-based reconstruction has grown significantly over the past decade, potential drawbacks remain a source of debate. Matrices are costly and not universally available across institutions, whereas Vicryl mesh is widely available, relatively inexpensive, and resistant to bacteria biofilm formation. With the intent of maximizing the reconstructive and economic advantages of direct-to-implant breast reconstruction, the authors report the first experience in the literature using an absorbable mesh as an inferolateral sling. A retrospective review was performed of the first 50 consecutive patients (76 reconstructions) who underwent implant-based breast reconstruction with Vicryl mesh from August of 2011 until June of 2012. Fifty patients underwent 76 direct-to-implant reconstructions with Vicryl mesh between August of 2011 and June of 2012 (mean follow-up, 1.2 years). Five breasts (6.6 percent) had complications, with only one complication resulting in implant loss (1.3 percent). Implant positioning and contour were excellent, with only two patients [three breasts (3.9 percent)] undergoing revision procedures, for size enlargement. Using costs available at the authors' institution, use of Vicryl mesh instead of acellular dermal matrix resulted in a direct material cost savings of $172,112 in 10 months. Results to date have been encouraging, with a low complication rate (6.6 percent) and excellent aesthetic results. The technique has resulted in $172,112 in direct material cost savings over 10 months. Continued follow-up is planned to evaluate long-term results. Therapeutic, IV.</description><subject>Absorbable Implants - adverse effects</subject><subject>Absorbable Implants - economics</subject><subject>Adult</subject><subject>Aged</subject><subject>Biocompatible Materials</subject><subject>Breast Implantation - adverse effects</subject><subject>Breast Implantation - economics</subject><subject>Breast Implantation - methods</subject><subject>Costs and Cost Analysis</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention &amp; control</subject><subject>Retrospective Studies</subject><subject>Surgical Mesh - adverse effects</subject><subject>Surgical Mesh - economics</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEtvEzEURi0EoqHwF5DFikVn8Nvj7pqIR6UgJB5ry-PcaQYm4-A7o6j_HqcJrTe2P5372TqEvOOs5szZD4zX-4w1K0tJK7SstVba1kY-IwuuhauUUOI5WTAmRcWZFhfkFeJvxriVRr8kF0Ip4wS3C5KWcJ_GDV32aUh3fcRretNiym1oB6BfAbc0IA10nQ7VKuF0dT7t9kMfw9Snkf4Y-vGOdinT25KGcaqWAaFUZgg40e8Q04hTnuORfk1edGFAeHPeL8mvTx9_rr5U62-fb1c36ypKZmXVNXFjHbOdNpwp3kQNwXbKNUo2aiMNcOl4AwZEjNYZ27kGWGisDk1QXLXykrw_9e5z-jsDTn7XY4Sh_A_SjJ4rJ4wzRWdBr09ozAkxQ-f3ud-FfO8580fhnvESoX8S7h-EeyPL8NvzO3O7g83j6H_DBVAn4JCGCTL-GeYDZL-FMEzbh0qjpaoE44qJcquOkZT_AFgnjAQ</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Tessler, Oren</creator><creator>Reish, Richard G.</creator><creator>Maman, Daniel Y.</creator><creator>Smith, Barbara L.</creator><creator>Austen, William G.</creator><general>American Society of Plastic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Beyond Biologics: Absorbable Mesh as a Low-Cost, Low-Complication Sling for Implant-Based Breast Reconstruction</title><author>Tessler, Oren ; Reish, Richard G. ; Maman, Daniel Y. ; Smith, Barbara L. ; Austen, William G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3073-f8cd7907f5610418c5ea7f4984384d36e13918e6e2cc7967f98e0a875a8a414b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Absorbable Implants - adverse effects</topic><topic>Absorbable Implants - economics</topic><topic>Adult</topic><topic>Aged</topic><topic>Biocompatible Materials</topic><topic>Breast Implantation - adverse effects</topic><topic>Breast Implantation - economics</topic><topic>Breast Implantation - methods</topic><topic>Costs and Cost Analysis</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention &amp; control</topic><topic>Retrospective Studies</topic><topic>Surgical Mesh - adverse effects</topic><topic>Surgical Mesh - economics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tessler, Oren</creatorcontrib><creatorcontrib>Reish, Richard G.</creatorcontrib><creatorcontrib>Maman, Daniel Y.</creatorcontrib><creatorcontrib>Smith, Barbara L.</creatorcontrib><creatorcontrib>Austen, William G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tessler, Oren</au><au>Reish, Richard G.</au><au>Maman, Daniel Y.</au><au>Smith, Barbara L.</au><au>Austen, William G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Beyond Biologics: Absorbable Mesh as a Low-Cost, Low-Complication Sling for Implant-Based Breast Reconstruction</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>133</volume><issue>2</issue><spage>90e</spage><epage>99e</epage><pages>90e-99e</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>There is an intense push to decrease overall healthcare costs in the United States. Although the use of acellular dermal matrix in implant-based reconstruction has grown significantly over the past decade, potential drawbacks remain a source of debate. Matrices are costly and not universally available across institutions, whereas Vicryl mesh is widely available, relatively inexpensive, and resistant to bacteria biofilm formation. With the intent of maximizing the reconstructive and economic advantages of direct-to-implant breast reconstruction, the authors report the first experience in the literature using an absorbable mesh as an inferolateral sling. A retrospective review was performed of the first 50 consecutive patients (76 reconstructions) who underwent implant-based breast reconstruction with Vicryl mesh from August of 2011 until June of 2012. Fifty patients underwent 76 direct-to-implant reconstructions with Vicryl mesh between August of 2011 and June of 2012 (mean follow-up, 1.2 years). Five breasts (6.6 percent) had complications, with only one complication resulting in implant loss (1.3 percent). Implant positioning and contour were excellent, with only two patients [three breasts (3.9 percent)] undergoing revision procedures, for size enlargement. Using costs available at the authors' institution, use of Vicryl mesh instead of acellular dermal matrix resulted in a direct material cost savings of $172,112 in 10 months. Results to date have been encouraging, with a low complication rate (6.6 percent) and excellent aesthetic results. The technique has resulted in $172,112 in direct material cost savings over 10 months. Continued follow-up is planned to evaluate long-term results. Therapeutic, IV.</abstract><cop>United States</cop><pub>American Society of Plastic Surgeons</pub><pmid>24469217</pmid><doi>10.1097/01.prs.0000437253.55457.63</doi></addata></record>
fulltext fulltext
identifier ISSN: 0032-1052
ispartof Plastic and reconstructive surgery (1963), 2014-02, Vol.133 (2), p.90e-99e
issn 0032-1052
1529-4242
language eng
recordid cdi_proquest_miscellaneous_1492696097
source MEDLINE; Journals@Ovid Complete
subjects Absorbable Implants - adverse effects
Absorbable Implants - economics
Adult
Aged
Biocompatible Materials
Breast Implantation - adverse effects
Breast Implantation - economics
Breast Implantation - methods
Costs and Cost Analysis
Female
Humans
Middle Aged
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Retrospective Studies
Surgical Mesh - adverse effects
Surgical Mesh - economics
title Beyond Biologics: Absorbable Mesh as a Low-Cost, Low-Complication Sling for Implant-Based Breast Reconstruction
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T02%3A35%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Beyond%20Biologics:%20Absorbable%20Mesh%20as%20a%20Low-Cost,%20Low-Complication%20Sling%20for%20Implant-Based%20Breast%20Reconstruction&rft.jtitle=Plastic%20and%20reconstructive%20surgery%20(1963)&rft.au=Tessler,%20Oren&rft.date=2014-02-01&rft.volume=133&rft.issue=2&rft.spage=90e&rft.epage=99e&rft.pages=90e-99e&rft.issn=0032-1052&rft.eissn=1529-4242&rft_id=info:doi/10.1097/01.prs.0000437253.55457.63&rft_dat=%3Cproquest_cross%3E1492696097%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1492696097&rft_id=info:pmid/24469217&rfr_iscdi=true