Senologie - Zeitschrift für Mammadiagnostik und -therapie 2020; 17(02): e33-e34
DOI: 10.1055/s-0040-1710662
Abstracts
Senologie

Patient Reported Outcome and cosmetic evaluation following implant-based breast-reconstruction with a titanized polypropylene mesh (TiLOOP® Bra): a prospective clinical study in 269 patients

S Paepke
1   Klinikum rechts der Isar, Technische Universität München, Klinik und Poliklinik für Frauenheilkunde, München, Deutschland
,
E Klein
1   Klinikum rechts der Isar, Technische Universität München, Klinik und Poliklinik für Frauenheilkunde, München, Deutschland
,
A Faridi
2   Universitätsklinikum Bonn, Bonn, Deutschland
,
A Meiré
3   St. Elisabeth Krankenhaus, Köln, Deutschland
,
C Gerber-Schäfer
4   Sankt Gertrauden Klinikum, Berlin, Deutschland
,
K Baumann
5   Universitätsklinikum Schleswig-Holstein, Lübeck, Deutschland
,
JU Blohmer
6   Campus Charité Mitte (CCM), Klinik für Gynäkologie mit Brustzentrum, Berlin, Deutschland
,
C Mau
7   Helios Klinikum Berlin Buch, Berlin, Deutschland
,
S Tofall
8   pfm medical AG, Köln, Deutschland
,
E Nolte
8   pfm medical AG, Köln, Deutschland
,
HJ Strittmatter
9   Rems-Murr-Klinikum Winnenden, Winnenden, Deutschland
,
R Ohlinger
10   Universitätsmedizin Greifswald, Klinik und Poliklinik für Geburtshilfe und Frauenheilkunde, Greifswald, Deutschland
,
M Thill
11   AGAPLESION MARKUS KRANKENHAUS, Gynäkologisches Krebszentrum, Frankfurt am Main, Deutschland
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    Zielsetzung Implant-based or expander-supported breast reconstruction is an established surgical method. In a prospective, single-arm, multi-center study the patient reported outcome (PRO) after breast reconstruction with a synthetic surgical mesh was investigated. The focus of this study was the analysis of patient reported outcome 12 months after breast reconstruction.

    Materialien und Methoden Primary or secondary implant-based breast reconstruction with support of a titanium-coated polypropylene mesh (TiLOOP® Bra) was performed in 269 patients in the course of the PRO-BRA study. Patient reported outcome 12 months after breast reconstruction was evaluated using the established Breast-Q questionnaire. Cosmetic outcome was evaluated by two independent experts.

    Ergebnisse The Breast-Q and 12 months FU were completed by 210 women. Patients without AE had a significantly higher Breast-Q score for “sexual well-being”; “psychosocial well-being” was negatively influenced by prior therapies, and patients > 40 years had significantly lower scores at 12 months FU for “ satisfaction with breasts (SwB)” while the opposite was true for patients ≤ 40 years. The BMI only influenced PRO preoperatively. Unilateral surgery resulted in reduced “satisfaction with breast”; a higher UICC stadium (II-IV) resulted in worse “SwB”. Radiotherapy negatively influenced “SwB”. The cosmetic evaluation showed a significant difference in the evaluation by the patients and experts with the patients’ assessment being worse.

    Zusammenfassung Our trial showed that two years after implant-based breast reconstruction with support of TiLOOP® Bra PRO is influenced by different factors. This information can be used to improve the decision-making process for women who chose implant-based breast reconstruction.


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    Publication History

    Article published online:
    24 June 2020

    © Georg Thieme Verlag KG
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