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

• Published in: Aesthetic plastic surgery Vol. 48; no. 3; pp. 285 - 296
• Main Authors: Eyuboglu, Atilla Adnan, Akdemir, Ovunc, Aydogan, Fatih, Isken, Mustafa Tonguc
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.02.2024; Springer Nature B.V
• Subjects: Animals; Breast Implantation - adverse effects; Breast Implantation - methods; Breast Implants; Breast Neoplasms; Breasts; Cattle; Female; Follow-Up Studies; Humans; Mammaplasty - methods; Medicine; Medicine & Public Health; Original Articles; Otorhinolaryngology; Pericardium; Plastic Surgery; Retrospective Studies; Treatment Outcome; Xenograft; Tutomesh; Breast reconstruction; Breast surgery; Oncoplastic surgery; Acellular dermal matrix; Biomaterial; Animal product; Bovine pericardium; Tutopatch
• ISSN: 0364-216X; 1432-5241
• DOI: 10.1007/s00266-023-03732-1

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 .